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.Tech. Marine Engineering
Dossier ID: DEG2199718
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BABAN SHRWAN CHAVAN
Mother's Name: POOJA
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Feb 2004 Nationality: INDIAN
Place of Birth: AHMEDNAGAR Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 16 Feb 2004 Nationality: INDIAN
Gender (M/F): Female 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: H NO 286 K SUDARSH COLONY WADRWADI BHINGAR
State: Maharashtra Country: India
Pin: 414002 City/District: AHMEDNAGAR
Mobile no: 7499773239 Telephone No. with STD code:
Aadhar Card No:535405791362 E-mail: bhushanchavan1313@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BABAN SHRWAN CHAVAN Relationship with candidate: FATHER
Parents Date of Birth: 28 Jul 1953 Parent's/Guardian's Occupation/Designation: SELF BUSINESS
   
Office Address:
   
Address: H NO 286 SUDARSHAN COLONY WADARWADI BHINGAR AHMEDNAGAR
Country: India State: Maharashtra
City/District: AHMEDNAGAR Pin: 414002
Tel: 09665973340 Mobile no.: 9665973340
Fax: Email: bhushanchavan1313@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: SACRED HEART CONVENT HIGH SCHOOL AHMEDNAGAR School: B P H E SOCIETY AHMEDNAGAR COLLEGE AHMEDNAGAR
City: ahmednagar City: AHMEDNAGAR
English %: 47 Board Roll No./Seat No.: P047158
Aggregate Percentage: 100 School/College Code: 1205001
  Address of School/College: NEAR CHANDNI CHOWK AHMEDNAGAR
  Centre code: 0201
  Pin: 414001
  Contact Nos: 02412354162
  Email: ahmednagarcollege1947@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 74 74
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 70
English 100 65 65
   
IMU CET Application Number: CET21U1013091  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARING CET EXAM
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES
Why do you wish to join TMI?: BEST EDUCATION
What are your hobbies?: PAINTING
What are your strengths?: POSITIVE THINKING
What are your weaknesses?: NA
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 ________________