Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science 2021)


Application Summary:
 
Course Enrolled (First Choice): B.Sc. Nautical Science Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2188678 Name: Purnendu Kumar Baidya
  Address: Kumarkhal Shobhanpur Katoria Amarpur
Telephone No.: Mobile no: 9801459043
E-mail: baidyapurnendu999@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188678 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2188678
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Purnendu Kumar Baidya
Mother's Name: Mira Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Jun 2003 Nationality: Indian
Place of Birth: Amarpur Personal Identification Mark: Dark spot on left hand
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 02 Jun 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
 
Address for Communication: Kumarkhal Shobhanpur Katoria Amarpur
State: Bihar Country: India
Pin: 813101 City/District: Banka
Mobile no: 9801459043 Telephone No. with STD code:
Aadhar Card No:655560827307 E-mail: baidyapurnendu999@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Prakash Baidya Relationship with candidate: Father
Parents Date of Birth: 10 Jan 1966 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Kumarkhal Shobhanpur Katoria Amarpur
Country: India State: Bihar
City/District: Banka Pin: 813101
Tel: Mobile no.: 9801459043
Fax: Email: baidyapurnendu999@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Other Board: CBSE
School: Saint Joseph School School: Chauhan Public school
City: Banka City: Bhagalpur
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code:
  Address of School/College: Baijani , Bounsi Road , Bhagalpur
  Centre code:
  Pin: 812001
  Contact Nos:
  Email: chauhanpublicsh@rediffmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 62 62
Chemistry 100 60 60
Mathematics 100 54 54
Physics, Chemistry & Mathematics combined Percentage: 58.67
English 100 71 71
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I started learning about new things.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It will help me to reach my goal.
Why do you wish to join TMI?: It is the way through which I will reach to my goal.
What are your hobbies?: To know something new.
What are your strengths?: Perfect knowledge about anything.
What are your weaknesses?: Little knowledge about anything.
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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