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: DEG2192734 Name: Simerdeep Singh Bhachu
  Address: 101,3 Prakash Nagar Colony, Nagda, Madhya Pradesh 101,3 Prakash Nagar Colony, Nagda, Madhaya Pradesh
Telephone No.: 07366242828 Mobile no: 8989404928
E-mail: simerdeep.singh.bhachu@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: 13698534619
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2192734 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: DEG2192734
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Simerdeep Singh Bhachu
Mother's Name: Gurvinder Kaur Bhachu
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Aug 2003 Nationality: INDIAN
Place of Birth: Nagda Personal Identification Mark: Two black mole below right eye
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 13 Aug 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: 101,3 Prakash Nagar Colony, Nagda, Madhya Pradesh 101,3 Prakash Nagar Colony, Nagda, Madhaya Pradesh
State: Madhya Pradesh Country: India
Pin: 456335 City/District: Nagda
Mobile no: 8989404928 Telephone No. with STD code: 07366242828
Aadhar Card No:995921898340 E-mail: simerdeep.singh.bhachu@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Charanjeet Singh Bhachu Relationship with candidate: Father
Parents Date of Birth: 09 Mar 1969 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Grasim industries Birlagram Nagda , district Ujjain Grasim industries Birlagram Nagda , district Ujjain
Country: India State: Madhya Pradesh
City/District: Nagda Pin: 456331
Tel: 8966881133 Mobile no.: 8966881133
Fax: Email: csbhachu69@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Madhya Pradesh Board: Madhya Pradesh
School: Fatima Convent H S School Nagda School: Saraswati H S School Nagda
City: Nagda City: Nagda
English %: 65 Board Roll No./Seat No.: 214402635
Aggregate Percentage: 66 School/College Code: 442060
  Address of School/College: Gulab Bai Colony Nagda
  Centre code: 442058
  Pin: 456335
  Contact Nos:
  Email: yogendra21582@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 90 90
Chemistry 100 90 90
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 80
English 100 65 65
   
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
10/2019 Basketball school 2
10/2019 Caricature school 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing my 12th exam first i will like to research about Merchant Navy and i will try to gain knowledge about it.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Studying in Nautical science will create an opportunities for me to become an Navigation officer and as i know that the job as a Navigation officer is a big responsibility to handle and on the other hand life on a ship is also a challenging thing , so this is the reason which make the job interesting and make me to take this course.
Why do you wish to join TMI?: Because according to my research TMI provides us best teachers and has good faculty with great facilities in campus.
What are your hobbies?: cooking , drawing and team sports like volleyball.
What are your strengths?: Patience ,creative ,versatile person and i never give up.
What are your weaknesses?: Taking on too many project at once ,overthinking.
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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