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: DEG2191119 Name: NIRMAL SARTHAK BAPUSAHEB
  Address: AT-UMBARI BALAPUR PO- ASHWI BK TAL-SANGAMNER
Telephone No.: Mobile no: 9172726217
E-mail: sarthaknirmal20@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 DEG2191119 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: DEG2191119
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NIRMAL SARTHAK BAPUSAHEB
Mother's Name: SHILA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Apr 2003 Nationality: INDIAN
Place of Birth: SANGAMNER Personal Identification Mark: NA
Blood Group: O -  
 
Date of Birth (DD/MM/YY): 27 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: AT-UMBARI BALAPUR PO- ASHWI BK TAL-SANGAMNER
State: Maharashtra Country: India
Pin: 413714 City/District: AHMEDNAGAR
Mobile no: 9172726217 Telephone No. with STD code:
Aadhar Card No:216773196294 E-mail: sarthaknirmal20@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: NIRMAL BAPUSAHEB SAVLERAM Relationship with candidate: FATHER
Parents Date of Birth: 02 May 1981 Parent's/Guardian's Occupation/Designation: AGRICULTURE
   
Office Address:
   
Address: AT-UMBARI BALAPUR PO-ASHWI BK TAL-SANGAMNER
Country: India State: Maharashtra
City/District: AHMEDNAGAR Pin: 413714
Tel: Mobile no.: 9922227425
Fax: Email: bapunirmal5@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: PRAVARA MADHYMIK VIDYALAY UMBARI BALAPUR School: DNYANGANGA VIDYANIKETAN AND JUNIOR COLLEGE MANCHI HILL
City: SANGAMNER City: ASHWI BK
English %: 62 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Address of School/College: AT-MANCHI HILL PO- ASHWI BK TAL-SANGAMNER DIST-AHMEDNAGAR
  Centre code:
  Pin: 413714
  Contact Nos: 9834659498
  Email: dnyangangavidya@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 ?: NA
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I AM INTERESTING IN NAVY
Why do you wish to join TMI?: GOOD FOR STUDY
What are your hobbies?: READING
What are your strengths?: LEADERSHIP
What are your weaknesses?: STRIGHT FORWARD
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded 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

 

___________________

Date ________________

 
Print Summary and Application Form