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: DEG2194667 Name: Petkar Atharva Hitendra
  Address: A-64,DGP nagar 1, Nashik-Pune road, Nashik Road, Nashik
Telephone No.: Mobile no: 9325998189
E-mail: atharvapetkar1026@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: 13756643501
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2194667 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: DEG2194667
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Petkar Atharva Hitendra
Mother's Name: Priti
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Nov 2001 Nationality: INDIAN
Place of Birth: NASHIK Personal Identification Mark: Mole on face
Blood Group: AB -  
 
Date of Birth (DD/MM/YY): 08 Nov 2001 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-64,DGP nagar 1, Nashik-Pune road, Nashik Road, Nashik
State: Maharashtra Country: India
Pin: 422006 City/District: Nashik
Mobile no: 9325998189 Telephone No. with STD code:
Aadhar Card No:3333 4556 3887 E-mail: atharvapetkar1026@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Hitendra Hiralal Petkar Relationship with candidate: Father
Parents Date of Birth: 23 Dec 1969 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: A-64,DGP nagar 1,Nashik-Pune road Nashik road Nashik
Country: India State: Maharashtra
City/District: Nashik Pin: 422006
Tel: Mobile no.: 8237065043
Fax: Email: hitendrapetkar1969@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Sharad Pawar Public School School: Ashoka Universal school
City: Nashik City: Nashik
English %: 74 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: Ashoka Universal school Chandsi,off Gangapur Road campus,Arjun nagar,Chandshi,Nashik,Maharashtra
  Centre code:
  Pin: 422013
  Contact Nos:
  Email: pramod.tripathi@ausindia.org
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 81 81
Chemistry 100 81 81
Mathematics 100 77 77
Physics, Chemistry & Mathematics combined Percentage: 79.67
English 100 68 68
   
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
11/2016 Swimming State level swimmer 4 rank in Maharashtra
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading novel and Hollywood movies
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It rare option no one take Rick to join because in his we want to get on a ship for 6 months or more
Why do you wish to join TMI?: TMI is number 1 university in India
What are your hobbies?: Reading novels and watching movies
What are your strengths?: Fitness and hard working
What are your weaknesses?: I dont speak with people faster
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

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Date ________________

 
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