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: DEG2189483 Name: Mayur Ajitkumar Patil
  Address: CTS NO 1886, Samrudhi, Sanskruti Palms Mandoli Road, Bhavani Nagar, Tilakwadi, Belgaum
Telephone No.: Mobile no: 9113259159
E-mail: mayurapatil2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 443072834
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2189483 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: DEG2189483
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mayur Ajitkumar Patil
Mother's Name: Shilpa Ajitkumar Patil
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Apr 2003 Nationality: Indian
Place of Birth: Belgaum Personal Identification Mark: Stitch marks on nose
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 02 Apr 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Mayur Ajitkumar Patil Passport No.: T7546998
Date of Expiry: 24 Jul 2029 Place of Issue: Bengaluru
(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: CTS NO 1886, Samrudhi, Sanskruti Palms Mandoli Road, Bhavani Nagar, Tilakwadi, Belgaum
State: Karnataka Country: India
Pin: 590006 City/District: Belgaum
Mobile no: 9113259159 Telephone No. with STD code:
Aadhar Card No:807842745527 E-mail: mayurapatil2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ajitkumar Bhupal Patil Relationship with candidate: Father
Parents Date of Birth: 17 Jul 1970 Parent's/Guardian's Occupation/Designation: Projects Manager
   
Office Address:
   
Address: Carrara Mid-East Ind Company LLC, Jabel Ali Industrial Area No 1 P.O Box 3565, Dubai, UAE
Country: United Arab Emirates State: Other
City/District: Dubai Pin: 3565
Tel: Mobile no.: 9611920572
Fax: Email: ajitbpatil@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Karnataka
School: Jain Heritage School School: GSS PU Science College
City: Belgaum City: Belgaum
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: R.P.D COLLEGE ROAD, TILAKWADI, BELGAVI
  Centre code:
  Pin: 590006
  Contact Nos:
  Email: principalgsspu@gmail.com
  Aggregate Percentage: 93
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 94 94
Chemistry 100 93 93
Mathematics 100 97 97
Physics, Chemistry & Mathematics combined Percentage: 94.67
English 100 92 92
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to spend my time researching/studying/hardworking/gaining knowledge to fulfill personal aspirations.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it is an extraordinary adventurous field which gives vast oppurtunities and experience.
Why do you wish to join TMI?: One of the top most institution in maritime studies
What are your hobbies?: Football, Cricket , Chess, Guitar,
What are your strengths?: Talented, Troubleshooter, Hardworker, Accepting Challenges , Communcation skills, etc
What are your weaknesses?: Short Tempered
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
 
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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