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: DEG2192159 Name: WAGH PRASAD SHANTARAM
  Address: A 5 GANDHARV NAGAR ANJALI SOCIETY NEAR HANUMAN PETROL PUMP NANDURBAR
Telephone No.: Mobile no: 9356804430
E-mail: waghprasad2626@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: 13678000079
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2192159 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2192159
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: WAGH PRASAD SHANTARAM
Mother's Name: REKHA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Dec 2002 Nationality: INDIAN
Place of Birth: TULAJA Personal Identification Mark: MOLE ON RIGHT HAND FINGER
Blood Group: O -  
 
Date of Birth (DD/MM/YY): 26 Dec 2002 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 5 GANDHARV NAGAR ANJALI SOCIETY NEAR HANUMAN PETROL PUMP NANDURBAR
State: Maharashtra Country: India
Pin: 425412 City/District: NANDURBAR
Mobile no: 9356804430 Telephone No. with STD code:
Aadhar Card No:515399897765 E-mail: waghprasad2626@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHANTARAM SAJAN WAGH Relationship with candidate: FATHER
Parents Date of Birth: 01 Jun 1970 Parent's/Guardian's Occupation/Designation: TALATHI
   
Office Address:
   
Address: TAHSIL KARYALAYA TALUKA AKKALKUWA DIST NANDURBAR
Country: India State: Maharashtra
City/District: NANDURBAR Pin: 425415
Tel: Mobile no.: 9545935610
Fax: Email: waghprasad2626@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: S A MISSION ENGLISH MEDIUM SCHOOL NANDURBAR School: P K ANNA PATIL JR COLLEGE NANDURBAR
City: NANDURBAR City: NANDURBAR
English %: 43 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Address of School/College: NEAR MIRAJ CINEMA KOKANI HILL NANDURBAR
  Centre code:
  Pin: 425412
  Contact Nos:
  Email: shri.kakasahebsrcollege@gmail.com
  Aggregate Percentage: 85
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 82 82
Chemistry 100 89 89
Mathematics 100 90 90
Physics, Chemistry & Mathematics combined Percentage: 87
English 100 82 82
   
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
08/2017 FOOTBALL DISTRICT LEVEL DEFENDER
11/2017 SHOT PUT NATINAL INTER DISTRICT SHOT PUT
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I AM SPENDIN MY TIME FOR A FUTURE OPTIONS GOOLGLE MOBILES ETC
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: MARINE ENGENEERING ITS NICE JOB FOR ME
Why do you wish to join TMI?: BCZ ITS GOVERNMENT COLLEGE
What are your hobbies?: SPORTS AND TRAVELING
What are your strengths?: GYM
What are your weaknesses?: STRONG WILLED
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 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