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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2192040 Name: Shreeshan Gowda DK
  Address: Sunkasale post Mudigere taluk Chickmagluru district
Telephone No.: Mobile no: 9449609185
E-mail: shreeshangowda3@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: 13694312509
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2192040 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2192040
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shreeshan Gowda DK
Mother's Name: Deepa HK
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 May 2003 Nationality: Indian
Place of Birth: Chickmaglur Personal Identification Mark: A scar on face
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 21 May 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: Sunkasale post Mudigere taluk Chickmagluru district
State: Karnataka Country: India
Pin: 577121 City/District: Chickmagluru
Mobile no: 9449609185 Telephone No. with STD code:
Aadhar Card No: E-mail: shreeshangowda3@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kashinath DV Relationship with candidate: parent
Parents Date of Birth: 28 Jul 1996 Parent's/Guardian's Occupation/Designation: Agruculturist
   
Office Address:
   
Address: Sunkasale post Mudigere Taluk
Country: India State: Karnataka
City/District: Chickmagluru district Pin: 577121
Tel: Mobile no.: 9449609185
Fax: Email: shreeshangowda3@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Other Board: Karnataka
School: Nazareth school banakal School: Sri Chaitanya PU College
City: banakal City: Mangalor
English %: 87 Board Roll No./Seat No.: 580134
Aggregate Percentage: 85 School/College Code: SS343
  Address of School/College: Sri Chaitanya PU college, Kottarachowki, Bangrakuloor, Mangalore
  Centre code: 830850
  Pin: 57006
  Contact Nos:
  Email: principalsrichaitanyamangalore@gmail.com
  Aggregate Percentage: 87
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 93 93
Chemistry 100 84 84
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 87
English 100 93 93
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Enjoy for while prepare for my entrance exams and
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Highly reputed college, good placements, Cool campus and my goal.
Why do you wish to join TMI?: My dream of becoming a marine engineer and with many suggestions for joining this college.
What are your hobbies?: Football, swimming
What are your strengths?: Achieving my goal by any means
What are your weaknesses?: Hard time letting go of a project
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
 
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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