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: DEG2195808 Name: puransh prabhakar
  Address: flat no.603 nirmal chayya towers vip road zirakpur
Telephone No.: 6280401399 Mobile no: 6280401399
E-mail: prabhakarpuransh@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: 13770794103
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2195808 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: DEG2195808
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: puransh prabhakar
Mother's Name: geetakshi prabhakar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Mar 2003 Nationality: Indian
Place of Birth: chandigarh Personal Identification Mark: right thigh
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 19 Mar 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : puransh prabhakar Passport No.: P4300341
Date of Expiry: 18 Mar 2021 Place of Issue: zirakpur
(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: flat no.603 nirmal chayya towers vip road zirakpur
State: Punjab Country: India
Pin: 140603 City/District: zirakpur
Mobile no: 6280401399 Telephone No. with STD code: 6280401399
Aadhar Card No:278670862536 E-mail: prabhakarpuransh@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAVI PRABHAKAR Relationship with candidate: FATHER
Parents Date of Birth: 13 Jan 1967 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: flat no.603 nirmal chayya towers vip road zirakpur
Country: India State: Punjab
City/District: zirakpur Pin: 140603
Tel: 9872669185 Mobile no.: 9872669185
Fax: Email: PRABHAKARPURANSH@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: SAUPINS SCHOOL School: ST.ANNES
City: CHANDIGARH City: CHANDIGARH
English %: 97 Board Roll No./Seat No.: 13687983
Aggregate Percentage: 93 School/College Code: 23019
  Address of School/College: ST.ANNES SCHOOL SECTOR 32A CHANDIGARH
  Centre code:
  Pin: 160030
  Contact Nos:
  Email: INFO@SACSCHD.IN
  Aggregate Percentage: 94
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 95 95
Chemistry 100 92 92
Mathematics 100 91 91
Physics, Chemistry & Mathematics combined Percentage: 92.67
English 100 93 93
   
IMU CET Application Number: CET21U1004220  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2016 CRICKET NATIONALS 3RD
11/2017 CRICKET DISTRICT 2ND
07/2018 CRICKET DISTRICT 4TH
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: EXPLORING VARIOUS FEILDS
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: A DREAM TO BECOME MERCHANT NAVY OFFICER
Why do you wish to join TMI?: BEST COLLEGE
What are your hobbies?: SWIMMING AND CRICKET
What are your strengths?: PHYSICAL FITNESS
What are your weaknesses?: NONE
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

 

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Date ________________

 
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