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: Name: PREM SINGH
  Address: A 100C RAGHUNATH VIHAR ,PANCHYAWALA ,JAIPUR A100C RAGHUNATH VIHAR PANCHYAWALA,JAIPUR
Telephone No.: Mobile no: 9460953781
E-mail: merijaanphysics@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 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.Tech. Marine Engineering
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PREM SINGH
Mother's Name: SUSHILA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Nov 2003 Nationality: INDIAN
Place of Birth: KARAULI Personal Identification Mark: MOLE ON RIGHT HAND
Blood Group: O -  
 
Date of Birth (DD/MM/YY): 21 Nov 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: A 100C RAGHUNATH VIHAR ,PANCHYAWALA ,JAIPUR A100C RAGHUNATH VIHAR PANCHYAWALA,JAIPUR
State: Rajasthan Country: India
Pin: 302032 City/District: JAIPUR
Mobile no: 9460953781 Telephone No. with STD code:
Aadhar Card No: E-mail: merijaanphysics@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BHAGWAN SINGH Relationship with candidate: FATHER
Parents Date of Birth: 17 Jul 1996 Parent's/Guardian's Occupation/Designation: EX SEVICEMEN
   
Office Address:
   
Address: A 100C RAGHUNATH VIHAR ,PANCHYAWALA ,JAIPUR A100C RAGHUNATH VIHAR PANCHYAWALA,JAIPUR
Country: India State: Rajasthan
City/District: JAIPUR Pin: 302032
Tel: Mobile no.: 9983766361
Fax: Email: merijaanphysics@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Rajasthan Board: Rajasthan
School: NM INTERNATIONAL SCHOOL School: NM INTERNATIONAL SCHOOL
City: JAIPUR City: JAIPUR
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Address of School/College: A 100C RAGHUNATH VIHAR ,PANCHYAWALA ,JAIPUR A100C RAGHUNATH VIHAR PANCHYAWALA,JAIPUR
  Centre code:
  Pin: 302032
  Contact Nos: 09983766361
  Email: merijaanphysics@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 ?: I SPEND MY TIME IN ATTAINING KNOWLEDGE ABOUT MARINE COURSES
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BECAUSE IT ATTACH ME TO YOU
Why do you wish to join TMI?: FOR LEARNING
What are your hobbies?: LEARNING
What are your strengths?: CONFIDENCE
What are your weaknesses?: KNOWLEDGE OF COMPLEX EDUCATION
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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 ________________

 
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