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: DEG2191145 Name: Lanson Sharon Dsouza
  Address: Dream house, Thuminadu, kunjattur, Kasaragod. Dream house, Thuminadu, kunjattur, Kasaragod.
Telephone No.: 0854 755 7499 Mobile no: 8547557499
E-mail: lansondsza14@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: 13675862183
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2191145 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.Sc. Nautical Science
Dossier ID: DEG2191145
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Lanson Sharon Dsouza
Mother's Name: Sandra Dsouza
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Mar 2004 Nationality: Indian
Place of Birth: Mangalore Personal Identification Mark: cheeks
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 27 Mar 2004 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: Dream house, Thuminadu, kunjattur, Kasaragod. Dream house, Thuminadu, kunjattur, Kasaragod.
State: Kerala Country: India
Pin: 671323 City/District: Kasargod
Mobile no: 8547557499 Telephone No. with STD code: 0854 755 7499
Aadhar Card No:289269469828 E-mail: lansondsza14@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sandra Dsouza Relationship with candidate: Mother
Parents Date of Birth: 01 Oct 1980 Parent's/Guardian's Occupation/Designation: Nursing
   
Office Address:
   
Address: Sharadha aurvedic medical colege and hospital Talapady Mangalore. Sharadha aurvedic medical colege and hospital Talapady Mangalore.
Country: India State: Kerala
City/District: Kasargod Pin: 671323
Tel: 08547557499 Mobile no.: 9740538305
Fax: Email: lansondsza14@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Karnataka
School: Assisi Central School School: Capitanio Composite PU college Mangalore.
City: Mangalore City: Mangalore
English %: 76 Board Roll No./Seat No.: 559006
Aggregate Percentage: 64 School/College Code: SS155
  Address of School/College: Capitanio composite PU college ,Naguri,Kankanady post,Mangalore.
  Centre code: 26523
  Pin: 575002
  Contact Nos:
  Email: lansondsza14@gmail.com
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 68 68
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 71.33
English 100 72 72
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Spending time Outside, Playing outdoor game, Learning more about this course, Knowing more about merchant navy.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: There are many option for us to do, But when i came to know about merchant navy i felt I can be there and give my best. so to join merchant navy i think i can do with BSC in nautical science.
Why do you wish to join TMI?: When i watch youtube videos about merchant navy i see many deck cadets who are vloging and sharing their experience in TMI. which made me to join TMI.
What are your hobbies?: Yoga, exercising, Spending time with nature.
What are your strengths?: Leadership, Team work.
What are your weaknesses?: There is no such weakness about me.
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form