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: DEG2198465 Name: Mayuresh Vijay Nimbalkar
  Address: Mayuresh Bunglow Plot No18 Ambernath CHS Behind Registration office Katrap Badlapur East 421503
Telephone No.: Mobile no: 9221884414
E-mail: vijaynimbalkar1969@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: 13879335738
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2198465 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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2198465
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mayuresh Vijay Nimbalkar
Mother's Name: POOJA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jan 2003 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: Mole on chin
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 21 Jan 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: Mayuresh Bunglow Plot No18 Ambernath CHS Behind Registration office Katrap Badlapur East 421503
State: Maharashtra Country: India
Pin: 421503 City/District: Badlapur
Mobile no: 9221884414 Telephone No. with STD code:
Aadhar Card No:791006093559 E-mail: vijaynimbalkar1969@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vijay Jayram Nimbalkar Relationship with candidate: Father
Parents Date of Birth: 24 Jul 1969 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: Janta Vidhyalaya Dhasai Dhasai Murbad
Country: India State: Maharashtra
City/District: BADLAPUR Pin: 421503
Tel: Mobile no.: 9221884414
Fax: Email: vijaynimbalkar1969@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Fatima High school Badlapur School: Fatima High school and junior college Ambernath
City: Badlapur City: Ambernath
English %: 70 Board Roll No./Seat No.: M019087
Aggregate Percentage: 74 School/College Code: 1602016
  Address of School/College: Fatima High school and junior college Ambarnath west
  Centre code: 1282
  Pin: 421502
  Contact Nos:
  Email: mayureshn2003@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 75 75
Chemistry 100 80 80
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 76.33
English 100 77 77
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying for entrance exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nowadays marine has a best scope
Why do you wish to join TMI?: I loved to do my carrer in TMI
What are your hobbies?: Playing outdoor games
What are your strengths?: My great strength is to be physically fit
What are your weaknesses?: I have trouble saying no
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

 

___________________

Date ________________

 
Print Summary and Application Form