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.Tech. Marine Engineering
Dossier ID: DEG2190683 Name: Kaushik Kumar
  Address: VILL-GADAICHAK PARWALPUR
Telephone No.: Mobile no: 9386825211
E-mail: kaushikkr005@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190683 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.Tech. Marine Engineering
Dossier ID: DEG2190683
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kaushik Kumar
Mother's Name: Ranjana Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Apr 2004 Nationality: Indian
Place of Birth: Nalanda Personal Identification Mark: cut mark on left eye
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 17 Apr 2004 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Kaushik Kumar Passport No.:
Date of Expiry: Place of Issue:
(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: VILL-GADAICHAK PARWALPUR
State: Bihar Country: India
Pin: 803114 City/District: Nalanda
Mobile no: 9386825211 Telephone No. with STD code:
Aadhar Card No:748660050617 E-mail: kaushikkr005@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shailesh Kumar Relationship with candidate: Father
Parents Date of Birth: 07 May 1978 Parent's/Guardian's Occupation/Designation: farmer
   
Office Address:
   
Address: VILL-GADAICHAK PARWALPUR
Country: India State: Bihar
City/District: Nalanda Pin: 803114
Tel: 09386825211 Mobile no.: 9386825211
Fax: Email: kaushikkr005@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: MTTTE School School: L.P Shahi college
City: Patna City: Patna
English %: 67 Board Roll No./Seat No.: 21010157
Aggregate Percentage: 59 School/College Code: 17020
  Address of School/College: Ramkrishna Nagar, Patna
  Centre code: 17020
  Pin: 800027
  Contact Nos:
  Email: lpscpatna1980@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 56 56
Chemistry 100 77 77
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 67.67
English 100 74 74
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After the completing 12th final exam and before joining college, So, I want to get extra knowledge about computer.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is interesting and challenges our all senses
Why do you wish to join TMI?: Because TMI ia the best institute in the world
What are your hobbies?: My hobby is become a officer
What are your strengths?: I can do anything
What are your weaknesses?: I don not realize about my weakness
How do you intend to meet the expenses of this program?: Bank Loan,Other - loan
 
Review you documents:
Your passport not uploaded 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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