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: DEG2189428 Name: Awaiting results
  Address: A-102,Jai Ganesh Sec-20 Kharghar, Navi Mumbai
Telephone No.: Mobile no: 8652059337
E-mail: michaeld192003@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: 442239888
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2189428 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: DEG2189428
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Awaiting results
Mother's Name: Genevieve Dsouza
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Sep 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: birth mark on left eyebrow
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 19 Sep 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : MICHAEL Passport No.: R0189067
Date of Expiry: 18 Sep 2021 Place of Issue: Thane
(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: A-102,Jai Ganesh Sec-20 Kharghar, Navi Mumbai
State: Maharashtra Country: India
Pin: 410210 City/District: Raigad
Mobile no: 8652059337 Telephone No. with STD code:
Aadhar Card No:979650240476 E-mail: michaeld192003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Francis Dsouza Relationship with candidate: Father
Parents Date of Birth: 01 Dec 1974 Parent's/Guardian's Occupation/Designation: service
   
Office Address:
   
Address: 6the floor, Axis Bank, NPC II, pocharam gatkesar, Hyderabad
Country: India State: Andhra Pradesh
City/District: Hyderabad Pin: 501506
Tel: Mobile no.: 9963700228
Fax: Email: francisd74@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: CBSE
School: CJM Kharghar School: Don Bosco Nerul
City: Kharghar City: Nerul
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Address of School/College: Don Bosco Senior secondary school Nerul , sec-42 A ,opp D-Mart,plot no- 8
  Centre code:
  Pin: 400706
  Contact Nos: 02227712031
  Email: donbosconerul@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2012 Football School level 1st
10/2012 80 mtr race School level 1st
11/2016 Basketball District level runners up
09/2017 Reliance foundation football tournament club level 1st
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
09/2017 Byjus School super league 2hrs
10/2011 English Olympiad 3hrs
10/2013 Art beats competition 2hrs
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend spending my spare time in joining courses related to extra curricular activities and whilest in the time after classes study about the navy and its various subjects
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think joining the Merchant Navy especially towards the deck side opting for B.Sc Nautical Science would not only bring out my academic potential but also strengthen my weakness and bring out confidence in me
Why do you wish to join TMI?: JoiningTMI has always been a dream since my teenage years, knowing and getting an opportunity to showcase my talents would bring me immense joy and pride
What are your hobbies?: Listening to music, cycling , swimming,exercise
What are your strengths?: I being a good team leader would collaborate with others and encourage them to take part in various activities, I also solve my problems in a calm and polite manner
What are your weaknesses?: I would not multitask at once and focus on one thing at a time for better output
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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