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: DEG2190215 Name: Yathin raj k urs
  Address: 2nd cross Vijayanagar Karnataka chikkamagaluru-577101
Telephone No.: Mobile no: 9353466621
E-mail: yathinrajkurs@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13540319335
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190215 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: DEG2190215
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Yathin raj k urs
Mother's Name: Late T R Pushpakala
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Oct 2003 Nationality: Indian
Place of Birth: Karnataka Personal Identification Mark: Left hand palm mole
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 01 Oct 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Yathin raj k urs Passport No.: N4051046
Date of Expiry: 01 Nov 2021 Place of Issue: Banglore
(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: 2nd cross Vijayanagar Karnataka chikkamagaluru-577101
State: Karnataka Country: India
Pin: 577101 City/District: Chikkamagaluru
Mobile no: 9353466621 Telephone No. with STD code:
Aadhar Card No:7270 3232 3683 E-mail: yathinrajkurs@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: K R Kanakarajurs Relationship with candidate: Father
Parents Date of Birth: 12 Jul 1996 Parent's/Guardian's Occupation/Designation: Business man
   
Office Address:
   
Address: 2nd cross Vijayanagar Karnataka chikkamagaluru
Country: India State: Karnataka
City/District: Chikkamagaluru Pin: 577101
Tel: Mobile no.: 9448392726
Fax: Email: likhithakanakaraj@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Karnataka
School: Sharada vidhyanikethana public school School: Sharada vidhyanikethana PU college
City: Mangalore City: Manglore
English %: 71 Board Roll No./Seat No.: 581261
Aggregate Percentage: 70 School/College Code: 575023
  Address of School/College: Sharada vidhyanikethana PU college Devi nagar thalapady manglore
  Centre code: 575023
  Pin: 575023
  Contact Nos: 08242280339
  Email: svpumng@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 84 84
Chemistry 100 78 78
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 77.33
English 100 85 85
   
IMU CET Application Number: 2021034472  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Fitness challenges Books reference
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Better future and a adventurous course
Why do you wish to join TMI?: Suggested by majority
What are your hobbies?: Cycling ,fitness keepup
What are your strengths?: A good adjusting player ,with good leadership qualities
What are your weaknesses?: A bit shy
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 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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