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: DEG2191016 Name: DELRICH MANDREKAR GEORGE
  Address: MODELS COMPLEX, BLDG-3/F-3 P.O. CARANZALEM, TALEIGAO, TISWADI-GOA
Telephone No.: 08322452926 Mobile no: 8329471823
E-mail: georgedelrich14@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: 13602292791
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2191016 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: DEG2191016
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: DELRICH MANDREKAR GEORGE
Mother's Name: BERYL MANDREKAR GEORGE
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Jul 2003 Nationality: INDIAN
Place of Birth: MARGAO-GOA Personal Identification Mark: NIL
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 14 Jul 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : DELRICH MANDREKAR GEORGE Passport No.: T0921280
Date of Expiry: 13 Oct 2029 Place of Issue: PANAJI
(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: MODELS COMPLEX, BLDG-3/F-3 P.O. CARANZALEM, TALEIGAO, TISWADI-GOA
State: Goa Country: India
Pin: 403002 City/District: PANAJI
Mobile no: 8329471823 Telephone No. with STD code: 08322452926
Aadhar Card No:646935478694 E-mail: georgedelrich14@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAVINDRA ATMARAM MANDREKAR Relationship with candidate: FATHER
Parents Date of Birth: 12 Dec 1961 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: CBI EUROPE, B.V - OMAN BRANCH P.O. BOX 641,P.C 112-CBI, AL DUQM, AL WUSTA, SULTANATE OF OMAN
Country: Oman State: Other
City/District: AL DUQM Pin: 112
Tel: 08322452926 Mobile no.: 9823197478
Fax: Email: ravibdd@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Goa Board: Goa
School: DON BOSCO HIGH SCHOOL PANJIM School: DON BOSCO HIGHER SECONDARY SCHOOL
City: PANJIM City: PANJIM
English %: 77 Board Roll No./Seat No.: 59110
Aggregate Percentage: 80 School/College Code: HS069
  Address of School/College: MG Road, Near Municipal Market, Panaji, Goa
  Centre code: 00
  Pin: 403001
  Contact Nos:
  Email: schooloffice@dbhsspanjim.edu.in
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 67 67
Mathematics 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 64
English 100 84 84
   
IMU CET Application Number: 00  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2019 BASKETBALL STATE 1st
02/2018 HANDBALL STATE 3rd
07/2019 BADMINTON ZONAL 3rd
06/2015 ELECTRONIC KEYBOARD TRINITY COLLEGE LONDON 18 CREDITS LEVEL 2
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: 1. BY GAINING MAXIMUM KNOWLEDGE ABOUT THE COURSE THAT I WISH TO PURSUE AFTER CLASS XII 2. BY STUDYING FOR ENTERNACE EXAMS 3. BY SHARPENING MY SPORTS SKILLS 4. BY LEARNING A FOREIGN LANGUAGE
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I HAVE ALWAYS HAD A KEEN INTEREST IN SHIPPING FROM A VERY YOUNG AGE. APART FROM THAT I AM VERY ADVENTUROUS AND LOVE TRAVELLING.
Why do you wish to join TMI?: TMI PROVIDES STUDENTS WITH ALL ROUND DEVELOPMENT AND GOOD PLACEMENTS TOO
What are your hobbies?: PLAYING BASKETBALL, KEYBOARD, GUITAR AND NATURE PHOTOGRAPHY
What are your strengths?: PUNCTUAL, RESPONSIBLE, QUICK LEARNER AND HARDWORKING
What are your weaknesses?: FEELING UNCOMFORTABLE IF I DONT ACHIEVE MY TARGET IN THE GIVEN TIME FRAME
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
 
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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