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.Sc. Nautical Science
Dossier ID: DEG21101055 Name: Chirag
  Address: Talwandi Rukka, Hisar Talwandi Rukka, Hisar Talwandi Rukka, Hisar
Telephone No.: 01662 Mobile no: 9017716444
E-mail: chiraggoel2002101@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: 13923731071
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21101055 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.Sc. Nautical Science
Dossier ID: DEG21101055
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Chirag
Mother's Name: Manju devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Oct 2002 Nationality: Hindu
Place of Birth: Hisar Personal Identification Mark: In the forehead
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 01 Oct 2002 Nationality: Hindu
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Chirag Passport No.: U7618268
Date of Expiry: 03 Nov 2030 Place of Issue: Chandigarh
(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: Talwandi Rukka, Hisar Talwandi Rukka, Hisar Talwandi Rukka, Hisar
State: Haryana Country: India
Pin: 125001 City/District: Hisar
Mobile no: 9017716444 Telephone No. with STD code: 01662
Aadhar Card No:641524755058 E-mail: chiraggoel2002101@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Suresh kumar Relationship with candidate: Father
Parents Date of Birth: 05 Feb 1969 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: Talwandi Rukka , Hisar Talwandi Rukka , Hisar Talwandi Rukka , Hisar
Country: India State: Haryana
City/District: Hisar Pin: 125001
Tel: 01662 Mobile no.: 9518174833
Fax: Email: chiraggoel2002101@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Haryana Board: Haryana
School: Vidya Sanskar International School School: Vidya Sanksar International School
City: Hisar City: Hisar
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: Talwandi Rukka, Hisar
  Centre code:
  Pin: 125001
  Contact Nos:
  Email: chiraggoel2002101@gmail.com
  Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 58 58
Chemistry 100 65 65
Mathematics 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 60.33
English 100 62 62
   
IMU CET Application Number: CET21U1000257  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Binge watch your favorite hollywood TV series and improving my english communication skills
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Both are good but I like more interest to join a Nautical Science
Why do you wish to join TMI?: Sir, at present this is the best Maritime academy in India with the maximum training, knowledge and placement percentage.
What are your hobbies?: My hobbies is playing a Cricket.
What are your strengths?: I am self motivated, hard working and a disciplined person.
What are your weaknesses?: Whenever I started any work I could not leave until I completed that work.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport 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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