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: DEG2199525 Name: SHAIJESH S KARMA
  Address: R O SANTHOSH KARMA VILL CALICUT PO CALICUT PS PAHARGAON NEAR PUMP HOUSE CALICUT
Telephone No.: Mobile no: 7063941174
E-mail: shaijeshsanthoshkarma@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: 13879528521
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2199525 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: DEG2199525
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHAIJESH S KARMA
Mother's Name: P SHAILAJA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Apr 2002 Nationality: INDIAN
Place of Birth: PORTBLAIR Personal Identification Mark: A BLACK MOLE BELOW THE RIGHT EAR
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 18 Apr 2002 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: R O SANTHOSH KARMA VILL CALICUT PO CALICUT PS PAHARGAON NEAR PUMP HOUSE CALICUT
State: Other Country: India
Pin: 744105 City/District: SOUTH ANDAMAN
Mobile no: 7063941174 Telephone No. with STD code:
Aadhar Card No:959150792247 E-mail: shaijeshsanthoshkarma@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: R O SANTHOSH KARMA Relationship with candidate: FATHER
Parents Date of Birth: 27 Feb 1972 Parent's/Guardian's Occupation/Designation: PRIVATE JOB
   
Office Address:
   
Address: KARMA DIESEL SERIVICE 24 M A ROAD PHOENIX BAY HADDO POST PORTBLAIR
Country: India State: Other
City/District: SOUTH ANDAMAN Pin: 744102
Tel: Mobile no.: 9434260258
Fax: Email: karmadieselservice@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: NANDI ACADEMY UP SCHOOL EM KRANTI NAGAR School: SRI CHAITHANYA TECHNO SCHOOL
City: NANDYAL City: VIJAYAWADA
English %: 80 Board Roll No./Seat No.: 20604351
Aggregate Percentage: 77 School/College Code: 57096
  Address of School/College: PUNADIPADU VJAYAWADA ANDHRA PRADESH
  Centre code:
  Pin: 521151
  Contact Nos:
  Email: Srichakra_Exam@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 86 86
Mathematics 100 91 91
Physics, Chemistry & Mathematics combined Percentage: 83.33
English 100 74 74
   
IMU CET Application Number: CET21U1005856  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
09/2019 CRICKET DISTRICT RUNNER UP
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: LEARNING ABOUT MERCHANT NAVY,PREPARING FOR EXAMS AND APPLYING FOR UPCOMING VACANCIES
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: NAUTICAL SCIENCE IS A UNIQUE JOB APART FROM OTHER JOBS
Why do you wish to join TMI?: TMI IS A TOP MOST INSTITUTE IN INDIA,GOOD INFRASTRUCTURE AND PROPER PLACEMENTS
What are your hobbies?: PLAYING SPORTS
What are your strengths?: IMPROVING IN ENGLISH AND GOOD LEADERSHIP IN SPORTS
What are your weaknesses?: I UNDERSTAND ENGLISH BUT I CANT SPEAK IT WELL
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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