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.Sc. Nautical Science
Dossier ID: DEG2188824 Name: Shubham Kumar
  Address: HIG/159, Hari OM Nagar, Road no.- 5, Adityapur, Saraikela Kharsawan HIG/159, Hari OM Nagar, Road no.- 5, Adityapur, Saraikela Kharsawan
Telephone No.: Mobile no: 6299238280
E-mail: shubhamkmr1234567@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 441339506
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188824 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.Sc. Nautical Science
Dossier ID: DEG2188824
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shubham Kumar
Mother's Name: Lata Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Mar 2002 Nationality: Indian
Place of Birth: Nawagarh Personal Identification Mark: Mole on right shin
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 21 Mar 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Shubham Kumar Passport No.: U7231805
Date of Expiry: 07 Jul 2030 Place of Issue: Ranchi
(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: HIG/159, Hari OM Nagar, Road no.- 5, Adityapur, Saraikela Kharsawan HIG/159, Hari OM Nagar, Road no.- 5, Adityapur, Saraikela Kharsawan
State: Jharkhand Country: India
Pin: 831013 City/District: Saraikela Kharsawan
Mobile no: 6299238280 Telephone No. with STD code:
Aadhar Card No:323559963243 E-mail: shubhamkmr1234567@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sudhir Kumar Relationship with candidate: Father
Parents Date of Birth: 10 Jan 1968 Parent's/Guardian's Occupation/Designation: Engineer
   
Office Address:
   
Address: E/12, 6-D,Sadhnapuri, Gardanibagh Near Sai Mandir E/12, 6-D,Sadhnapuri, Gardanibagh Near Sai Mandir
Country: India State: Bihar
City/District: Patna Pin: 800001
Tel: 06299238280 Mobile no.: 9934807651
Fax: Email: sudhikumarrkfl@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020 (Appearing for improvement)
Board: CBSE Board: CBSE
School: D.A.V. Public School Bistupur School: D.A.V. Public School Bistupur
City: Jamshedpur City: Jamshedpur
English %: 87 Board Roll No./Seat No.: 22695091
Aggregate Percentage: 82 School/College Code: 66332
  Address of School/College: Contractors area Bistupur Jamshedpur
  Centre code: 6793
  Pin: 831001
  Contact Nos:
  Email: davbistupur.org@gmail.com
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 65 65
Chemistry 100 53 53
Mathematics 100 49 49
Physics, Chemistry & Mathematics combined Percentage: 55.67
English 100 78 78
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Working on my personality, ability and skills. Expanding my knowledge in the field. Going out and exploring a little.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: In this I will be able to improve and harness my abilities. It will be a platform to broaden my domain of knowledge about world, industry, people and finally will allow me to become a Merchant Navy Officer.
Why do you wish to join TMI?: TMI is the best maritime institute for BSc Nautical Science and it will be an honor to study in such a beautiful and reputable institution.
What are your hobbies?: Mountain Biking, Playing Guitar, video making, photography
What are your strengths?: Will power, determination, confidence, social skills
What are your weaknesses?: Sometimes taking things lightly
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet not uploaded
 
Declaration

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

Signature of Candidate

 

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Date ________________

 
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