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: DEG2198343 Name: PRATYUSH DUBEY
  Address: EXPRESS DAIRY CO LTD 198,BHUPEN ROY ROAD BEHALA
Telephone No.: Mobile no: 8777494857
E-mail: pratyushdubey2021@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: 13839213926
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2198343 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: DEG2198343
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PRATYUSH DUBEY
Mother's Name: PUNAM DUBEY
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 May 2004 Nationality: INDIAN
Place of Birth: KANPUR Personal Identification Mark: MOLE ON NECK
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 29 May 2004 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: EXPRESS DAIRY CO LTD 198,BHUPEN ROY ROAD BEHALA
State: West Bengal Country: India
Pin: 700034 City/District: KOLKATA
Mobile no: 8777494857 Telephone No. with STD code:
Aadhar Card No:904743089167 E-mail: pratyushdubey2021@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ASHOK KUMAR DUBEY Relationship with candidate: FATHER
Parents Date of Birth: 26 Dec 1977 Parent's/Guardian's Occupation/Designation: PRIVATE JOB
   
Office Address:
   
Address: EXPRESS DAIRY CO LTD 198,BHUPEN ROY ROAD BEHALA
Country: India State: West Bengal
City/District: KOLKATA Pin: 700034
Tel: Mobile no.: 9831095966
Fax: Email: ashokdubey1977@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: ISCE
School: M.P.BIRLA FOUNDATION HIGHER SECONDARY SCHOOL School: M.P.BIRLA FOUNDATION HIGHER SECONDARY SCHOOL
City: KOLKATA City: KOLKATA
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code: WB143
  Address of School/College: JAMES LONG SARANI,BEHALA
  Centre code:
  Pin: 700034
  Contact Nos: 24070000
  Email: mpbfhsschool@bsnl.in
  Aggregate Percentage: 87
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 82 82
Chemistry 100 85 85
Mathematics 100 87 87
Physics, Chemistry & Mathematics combined Percentage: 84.67
English 100 90 90
   
IMU CET Application Number: 6019897  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2019 ESPORTS TEAM MEMBER 2ND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARING FOR ENTRANCE EXAMS FOR ENGINEERING COLLEGES
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: TO FULFIL MY DREAM OF SEA AND TAKE CARE OF MY FAMILY I WANT TO GO AHEAD IN THIS CAREER PATH,WITH THE HELP OF MY DEGREE I CAN BE A PART OF THE GROWING ECONOMY OF MY COUNTRY TO HELP IT GROW TO THE FULLEST.
Why do you wish to join TMI?: I WANT TO COMPLETE MY STUDIES IN MARITIME FROM THE BEST INSTITUTE POSSIBLE.
What are your hobbies?: CYCLING
What are your strengths?: I DO NOT GIVE UP, NO MATTER HOW TOUGH THE SITUATION IS.
What are your weaknesses?: PUBLIC SPEAKING
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 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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