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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2190810 Name: SHUBHAM PAL
  Address: CLUB TOWN HEIGHTS, 14 B.T ROAD, RATHTALA, BELGHARIA, BLOCK- 6, FLAT NO- 10A CLUB TOWN HEIGHTS, 14 B.T ROAD, RATHTALA, BELGHARIA, BLOCK- 6, FLAT NO- 10A
Telephone No.: 033-25645564 Mobile no: 9903373547
E-mail: pal_2359@rediffmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13584973081
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190810 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2190810
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHUBHAM PAL
Mother's Name: DIPA PALKUNDU
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 May 2003 Nationality: INDIAN
Place of Birth: KHARDAHA Personal Identification Mark: MOL ON LEFT LEG
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 04 May 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : SHUBHAM PAL Passport No.: T8436179
Date of Expiry: 10 Sep 2029 Place of Issue: Kolkata
(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: CLUB TOWN HEIGHTS, 14 B.T ROAD, RATHTALA, BELGHARIA, BLOCK- 6, FLAT NO- 10A CLUB TOWN HEIGHTS, 14 B.T ROAD, RATHTALA, BELGHARIA, BLOCK- 6, FLAT NO- 10A
State: West Bengal Country: India
Pin: 700056 City/District: KOLKATA
Mobile no: 9903373547 Telephone No. with STD code: 033-25645564
Aadhar Card No:587889229227 E-mail: pal_2359@rediffmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SUBIR PAL Relationship with candidate: FATHER
Parents Date of Birth: 19 Jan 1971 Parent's/Guardian's Occupation/Designation: MARINE ENGINEER
   
Office Address:
   
Address: FLEET MANAGEMENT LTD, 1842 RAJDANGA MAIN ROAD, RENE TOWER,7th FLOOR, KOLKATA- 700107
Country: India State: West Bengal
City/District: KOLKATA Pin: 700107
Tel: 03325645564 Mobile no.: 9903373547
Fax: Email: pal_2359@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: ADAMAS INTERNATIONAL SCHOOL School: ADAMAS INTERNATIONAL SCHOOL
City: Kolkata City: KOLKATA
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 96 School/College Code:
  Address of School/College: 58,4 M.M FEEDER ROAD,RATHTALA, BELGHARIA
  Centre code:
  Pin: 700056
  Contact Nos: 03325443401
  Email: adamas@riceindia.org
  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 ?: Travelling and Reading books.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Obviously yes.
Why do you wish to join TMI?: Most Esteemed Marine College in India.
What are your hobbies?: Playing Chess and reading documentary.
What are your strengths?: My Family Support.
What are your weaknesses?: Bad food habits
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 not uploaded
 
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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