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: DEG2190911 Name: Nikam Pratham Santosh
  Address: 102, Shiv Darshan C.H.S Ganesh Nagar, Rameshwadi, Badlapur west
Telephone No.: Mobile no: 9022238001
E-mail: prathamnikam28@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: 13597785843
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190911 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: DEG2190911
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Nikam Pratham Santosh
Mother's Name: Yogita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Apr 2003 Nationality: Indian
Place of Birth: Kalyan Personal Identification Mark: Black mole on right hand
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 28 Apr 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : 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: 102, Shiv Darshan C.H.S Ganesh Nagar, Rameshwadi, Badlapur west
State: Maharashtra Country: India
Pin: 421503 City/District: THANE
Mobile no: 9022238001 Telephone No. with STD code:
Aadhar Card No:810835267577 E-mail: prathamnikam28@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Santosh G Nikam Relationship with candidate: Father
Parents Date of Birth: 03 May 1977 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Infinity towers 15, Narayan Dabholkar road, Nepeansea road, mumbai 400006
Country: India State: Maharashtra
City/District: Mumbai Pin: 400006
Tel: Mobile no.: 9579724945
Fax: Email: santoshnikam1978@yahoo.co.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Don Bosco English High School School: New English High School and Jr College
City: Badlapur City: Ulhasnagar
English %: 73 Board Roll No./Seat No.: M018336
Aggregate Percentage: 76 School/College Code: 1618018
  Address of School/College: Shri G. S. Pamnani Marg, Netaji Chowk, Ulhasnagar
  Centre code: 1236
  Pin: 421004
  Contact Nos:
  Email: prathamnikam28@gmail.com
  Aggregate Percentage: 85
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 84 84
Chemistry 100 83 83
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 82.67
English 100 89 89
   
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
09/2014 Elementary 1 C
09/2015 Intermediate 2 C
01/2012 Maharashtra Pradnya Shodh pariksha 1 100
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
07/2021 spanish language 80 hours
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I was spending quality time by learning Spanish Language and preparing for MHT CET examination and I was working on my physique.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I am very passionate and excited about challenges, adventures and opportunities marine engineering would provide me.
Why do you wish to join TMI?: TMI is one of the reputed institute. In marine engineering all over India. It is also closer to a place where I reside and I personally think that TMI will help to make my dreams come true
What are your hobbies?: Sketching, Reading comics, Watching movies, Trekking
What are your strengths?: Adventurer. Cooperative attitude. leadership. Good at memorization. Can remain calm and patient in stressful situations
What are your weaknesses?: Procrastinate the work sometimes
How do you intend to meet the expenses of this program?: Bank 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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