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: DEG2190672 Name: MUKESH MUNSHEE CHAUHAN
  Address: B-406, Natraj Apt, Link road, Hiranagar, MULUND west , Mumbai B-406, Natraj Apt, Link road, Hiranagar, MULUND West, Mumbai
Telephone No.: 8369569177 Mobile no: 8369569177
E-mail: mukesh.mangesh@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: 13567239691
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190672 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DEG2190672
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MUKESH MUNSHEE CHAUHAN
Mother's Name: PUSHPA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Aug 2003 Nationality: Indian
Place of Birth: NAKAHARA UP Personal Identification Mark: THIGH
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 12 Aug 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : MUKESH MUNSHEE CHAUHAN Passport No.: P6536890
Date of Expiry: 11 Aug 2021 Place of Issue: Mumbai
(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: B-406, Natraj Apt, Link road, Hiranagar, MULUND west , Mumbai B-406, Natraj Apt, Link road, Hiranagar, MULUND West, Mumbai
State: Maharashtra Country: India
Pin: 400080 City/District: Mumbai
Mobile no: 8369569177 Telephone No. with STD code: 8369569177
Aadhar Card No:7336 9297 3865 E-mail: mukesh.mangesh@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MUNSHEE CHAUHAN Relationship with candidate: FATHER
Parents Date of Birth: 02 Jul 1981 Parent's/Guardian's Occupation/Designation: Engineer
   
Office Address:
   
Address: 4th Floor, 401/A, Elegant Business Park, Off, Andheri - Kurla Rd, near Kohinoor Continental Hotel, Andheri East, Mumbai, Maharashtra 400059 4th Floor, 401/A, Elegant Business Park, Off, Andheri - Kurla Rd, near Kohinoor Continental Hotel, Andheri East, Mumbai, Maharashtra 400059
Country: India State: Maharashtra
City/District: Mumbai Pin: 400080
Tel: Mobile no.: 9820858199
Fax: Email: munshee77@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: SMT. VIDYABEN.D.GARDI HIGH SCHOOL School: ARYA GURUKUL INTERNATIONAL COLLEGE
City: Mumbai City: Mumbai
English %: 54 Board Roll No./Seat No.:
Aggregate Percentage: 48 School/College Code:
  Address of School/College: Plot 90, Sector 20 B, Sector 20/B, Sector 20, Airoli, Navi Mumbai, Maharashtra 400708
  Centre code:
  Pin: 400708
  Contact Nos:
  Email: mukesh.mangesh@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Is good college
What are your hobbies?: Cricket
What are your strengths?: Doing studies
What are your weaknesses?: Nothing
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 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

 

___________________

Date ________________

 
Print Summary and Application Form