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: DEG2189203 Name: SHAWN FERNANDES
  Address: B1/303 SUKUR PARK CHS OPPOSITE SAHYADRI SOCIETY KALWA WEST
Telephone No.: 02225418654 Mobile no: 9920324280
E-mail: shawnf709@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 441569166
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2189203 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: DEG2189203
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHAWN FERNANDES
Mother's Name: JANET FERNANDES
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Nov 2003 Nationality: INDIAN
Place of Birth: THANE Personal Identification Mark: MOLE ON LEFT ARM
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 28 Nov 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: B1/303 SUKUR PARK CHS OPPOSITE SAHYADRI SOCIETY KALWA WEST
State: Maharashtra Country: India
Pin: 400605 City/District: THANE
Mobile no: 9920324280 Telephone No. with STD code: 02225418654
Aadhar Card No:2325 4163 0539 E-mail: shawnf709@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MARSHAL FERNANDES Relationship with candidate: FATHER
Parents Date of Birth: 27 Feb 1970 Parent's/Guardian's Occupation/Designation: SENIOR PASSENGER GUARD
   
Office Address:
   
Address: B1/303 SUKUR PARK CHS OPPOSITE SAHYADRI SOCIETY Kalwa west MUMBAI
Country: India State: Maharashtra
City/District: THANE Pin: 400605
Tel: 09920324280 Mobile no.: 9867727821
Fax: Email: hanselmarshal@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: ST.JOHN THE BAPTIST HIGH SCHOOL School: ST.JOHN THE BAPTIST COLLEGE
City: THANE City: THANE
English %: 67 Board Roll No./Seat No.: M003847
Aggregate Percentage: 68 School/College Code: 1614012
  Address of School/College: Near Taloi Pali charai Thane west
  Centre code: 1033
  Pin: 400601
  Contact Nos: 02225341146
  Email: principal@sjbhs.org
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 65 65
Chemistry 100 70 70
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 67.67
English 100 62 62
   
IMU CET Application Number: CET21U1008640  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
06/2019 TUG OF WAR COLLEGE FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I want to focus on improving myself
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: For me Bsc nautical science is the best in terms of knowledge and experience
Why do you wish to join TMI?: I have heard TMI from my uncle who is a captain. The campaus is also good
What are your hobbies?: collecting world Currency and coins
What are your strengths?: I Have leadership qualities and ability to learn new things
What are your weaknesses?: I sometimes lack confidence
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

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Date ________________

 
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