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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2188938
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ABHISHEK KUMAR TRIPATHI
Mother's Name: SAKUNTALA TRIPATHI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jun 2003 Nationality: INDIAN
Place of Birth: JAMURIA Personal Identification Mark: A CUT MARK ON LEFT HAND
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 16 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: AT- NINGHA AB BLOCK PO- NINGHA PS-JAMURIA
State: West Bengal Country: India
Pin: 713370 City/District: ASANSOL
Mobile no: 9732151249 Telephone No. with STD code:
Aadhar Card No:903252088502 E-mail: rameshk1tripathi@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAMESH KUMAR TRIPATHI Relationship with candidate: FATHER
Parents Date of Birth: 05 Jun 1971 Parent's/Guardian's Occupation/Designation: GOVERMENT SERVICE
   
Office Address:
   
Address: NINGHA COLLIERY PO- NINGHA PS-JAMURIA
Country: Iceland State: West Bengal
City/District: ASANSOL Pin: 713370
Tel: Mobile no.: 9732151249
Fax: Email: rameshk1tripathi@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: ST VINCENTS HIGH AND TECHNICAL SCHOOL School: GYAN BHARATI SCHOOL
City: ASANSOL City: RANIGANJ
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 56 School/College Code:
  Address of School/College: RANIGANJ
  Centre code:
  Pin: 713347
  Contact Nos: 03412444389
  Email: gyanbharati_rng@yahoo.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPRATION FOR COMPETITIVE EXAM
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: FOR GAINING EXTRA KNOWLEDGE
Why do you wish to join TMI?: FOR INCREASING KNOWLEDGE
What are your hobbies?: BOOK STUDY
What are your strengths?: HARD WORK
What are your weaknesses?: NO WEAKNESSES
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 not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________