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: DEG21101697 Name: Mehul Dwivedi
  Address: 269 KHA 559 SINGAR NAGAR , ALAMBAGH LUCKNOW 226005
Telephone No.: 05223519498 Mobile no: 9473999999
E-mail: dwivedimehul@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: 13946810237
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21101697 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: DEG21101697
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mehul Dwivedi
Mother's Name: hemlata shukla
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Jan 2003 Nationality: Indian
Place of Birth: lucknow Personal Identification Mark: cut on left eyebrow
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 05 Jan 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : mehul dwivedi Passport No.: T2561105
Date of Expiry: 31 Jul 2030 Place of Issue: LUCKNOW
(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: 269 KHA 559 SINGAR NAGAR , ALAMBAGH LUCKNOW 226005
State: Uttar Pradesh Country: India
Pin: 226005 City/District: LUCKNOW
Mobile no: 9473999999 Telephone No. with STD code: 05223519498
Aadhar Card No:208425328325 E-mail: dwivedimehul@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: VIKAS DWIVEDI Relationship with candidate: FATHER
Parents Date of Birth: 15 Oct 1971 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: 269 kha 559 singar nagar alambagh lucknow 226005
Country: India State: Uttar Pradesh
City/District: lucknow Pin: 226005
Tel: Mobile no.: 7007812622
Fax: Email: dwivedivikas74@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: la martiniere college School: the millennium school
City: lucknow City: lucknow
English %: 57 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code: 70966
  Address of School/College: f block, unitech south city, raebareily road, lucknow
  Centre code:
  Pin: 226025
  Contact Nos:
  Email: millenniumschool@gmail.com
  Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 60 60
Chemistry 100 67 67
Mathematics 100 55 55
Physics, Chemistry & Mathematics combined Percentage: 60.67
English 100 65 65
   
IMU CET Application Number: CET21U1011253  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
06/2019 swimmimg inter school 1st
09/2017 Swimming Regional 2nd
12/2013 Taekwondo inter school 3rd
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
01/2017 mountraining 15 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i do daily morning workout , i study my subjects which are lacking
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: B.SC IN NAUTICAL SCIENCE
Why do you wish to join TMI?: TMI IS ONE OF THE BEST COLLEGE AND ALSO WANT TO PARTICIPATE IN SUCH A HUGE ORGANISATION
What are your hobbies?: CYCLING , SWIMMIMG
What are your strengths?: Discipline
What are your weaknesses?: Nervousness about public speaking.
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport 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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