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: DEG2190259 Name: AJAY JAGADEESH
  Address: NO.226,SRI LAKSHMI SAROJ,10TH CROSS,NAIDU LAYOUT JALAHALLI EAST ,BANGALORE 560014
Telephone No.: Mobile no: 9036834374
E-mail: ajuaanda2003@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: 13527280721
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190259 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: DEG2190259
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AJAY JAGADEESH
Mother's Name: SUMATHY
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Dec 2003 Nationality: INDIAN
Place of Birth: PALAKKAD Personal Identification Mark: BLACK MOLE ON RIGHT WRIST
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 19 Dec 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : AJAY JAGADEESH Passport No.: V1155402
Date of Expiry: 18 Dec 2021 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: NO.226,SRI LAKSHMI SAROJ,10TH CROSS,NAIDU LAYOUT JALAHALLI EAST ,BANGALORE 560014
State: Karnataka Country: India
Pin: 560014 City/District: PALAKKAD
Mobile no: 9036834374 Telephone No. with STD code:
Aadhar Card No:206316374293 E-mail: ajuaanda2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JAGADEESH Relationship with candidate: FATHER
Parents Date of Birth: 31 Jul 1963 Parent's/Guardian's Occupation/Designation: EX-AIRFORCE
   
Office Address:
   
Address: NO.226,SRI LAKSHMI SAROJ,10TH CROSS,NAIDU LAYOUT JALAHALLI EAST,BANGALORE 560014
Country: India State: Karnataka
City/District: PALAKKAD Pin: 560014
Tel: Mobile no.: 9036834374
Fax: Email: jagadeesh_manmohan@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: KENDRIYA VIDYALAYA NO.2 AFS JALAHALLI EAST School: KENDRIYA VIDYALAYA NO.2 AFS JALAHALLI EAST
City: BANGALORE City: BANGALORE
English %: 82 Board Roll No./Seat No.: 18610417
Aggregate Percentage: 76 School/College Code: 49004
  Address of School/College: KENDRIYA VIDYALAYA NO.2 AFS JALAHALLI EAST,BENGALURU,KARNATAKA560014
  Centre code: 49004
  Pin: 560014
  Contact Nos:
  Email: kv2jalahallieast@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 81 81
Chemistry 100 72 72
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 71.33
English 100 86 86
   
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
07/2016 KHO KHO SCHOOL LEVEL WINNER
08/2015 HANDBALL STATE LEVEL SECOND
08/2016 HANDBALL STATE LEVEL WINNER
08/2016 HANDBALL NATIONAL LEVEL PARTICIPATION
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Exploring new places in cycle with my friends and improving my skills in sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: The Bachelor in Nautical Science degree enables the graduates to become Navigating Officers on-board on merchant ships plying worldwide and explore the sea
Why do you wish to join TMI?: One would wish to join TMI because they offer their students the best Infrastructure, Placements, Academics andCampus Life.
What are your hobbies?: cycling and playing football
What are your strengths?: my strengths incude leadership qualities and communication skills
What are your weaknesses?: i am not good in handling money
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 XIIĀ 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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