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: DEG2191199 Name: TS Adithyan
  Address: A-12 AJ APPARTMENT PADAMUGHAL UP SCHOOL ROAD KAKKANADU
Telephone No.: +91 9495783760 Mobile no: 9494783760
E-mail: adhithyansomith@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: 13621467235
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2191199 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.Tech. Marine Engineering
Dossier ID: DEG2191199
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: TS Adithyan
Mother's Name: Jubeysomith
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Mar 2003 Nationality: Indian
Place of Birth: Ernakulam Personal Identification Mark: Black mole on left cheek
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 03 Mar 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-12 AJ APPARTMENT PADAMUGHAL UP SCHOOL ROAD KAKKANADU
State: Kerala Country: India
Pin: 682030 City/District: Ernakulam
Mobile no: 9494783760 Telephone No. with STD code: +91 9495783760
Aadhar Card No:998095531998 E-mail: adhithyansomith@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: T N Somithraj Relationship with candidate: Father
Parents Date of Birth: 15 May 1975 Parent's/Guardian's Occupation/Designation: Medical representative
   
Office Address:
   
Address: A-12 AJ APPARTMENT PADAMUGHAL UP SCHOOL ROAD KAKKANADU
Country: India State: Kerala
City/District: Ernakulam Pin: 682030
Tel: 919495783760 Mobile no.: 9495783760
Fax: Email: tnsomithraj@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: Navanirman public school School: govt higher secondary school edappally
City: Ernakulam City: Ernakulam
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: A-12 AJ APPARTMENT PADAMUGHAL UP SCHOOL ROAD KAKKANADU
  Centre code:
  Pin: 682030
  Contact Nos: 09495783760
  Email: tnsomithraj@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
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
07/2017 basketball interschool forward front
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intwnd to spend my time by playing sports such as cricket,football,ect
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: it is a good opportunity to work in a ship
Why do you wish to join TMI?: TMI is one of the best marine institutes
What are your hobbies?: Playing cricket and football
What are your strengths?: My strenght is my family and friends who has been suporting me for everything
What are your weaknesses?: My kindness towards others have cost me many things
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 not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
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