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: DEG21100798
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHREEDHAR SHUKLA
Mother's Name: MANJU SHUKLA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Dec 2003 Nationality: INDIAN
Place of Birth: LUCKNOW Personal Identification Mark: Cut mark on left ear lobe
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 29 Dec 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: 756, Sector-3, Eldeco Udyan-2, Raibareli road, LUCKNOW
State: Uttar Pradesh Country: India
Pin: 226025 City/District: LUCKNOW
Mobile no: 9415027415 Telephone No. with STD code:
Aadhar Card No:946936768252 E-mail: shuklashreedhar@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANJAY SHUKLA Relationship with candidate: FATHER
Parents Date of Birth: 18 Jun 1965 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: 7/7, Bharti Airtel Ltd, Vibhuti Khand, Gomti Nagar, LUCKNOW
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226010
Tel: Mobile no.: 9956142959
Fax: Email: shuklatelesoic@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: CITY MONTESSORI SCHOOL School: CITY MONTESSORI SCHOOL
City: LUCKNOW City: LUCKNOW
English %: 86 Board Roll No./Seat No.: 2213974/048
Aggregate Percentage: 90 School/College Code:
  Address of School/College: CITY MONTESSORI SCHOOL, KANPUR ROAD, LUCKNOW
  Centre code:
  Pin: 226012
  Contact Nos:
  Email: qaid@cmseducation.org
  Aggregate Percentage: 94
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 86 86
Chemistry 100 79 79
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 83.33
English 100 92 92
   
IMU CET Application Number: CET21U1004009  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
07/2017 JUNIOR YOUTH EMPOWERMENT PROGRAM 2 YEARS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for IMU-CET and JEE MAIN
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is my passion and aim to join merchant navy and provide my good service to the world
Why do you wish to join TMI?: It is one of the most renowned institute of the nation with a good teaching faculty
What are your hobbies?: Football
What are your strengths?: Punctual, Hardworking, Quick-learner
What are your weaknesses?: Emotional
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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

 

___________________

Date ________________