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: DEG21102281 Name: Aryan Shukla
  Address: 121/242 Y-block Kidwai Nagar Kanpur Uttar Pradesh P Block 101 Silver line apartments Lucknow Uttar Pradesh
Telephone No.: 07525931983 Mobile no: 9264937379
E-mail: aryaanmummy@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: 13966642041
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21102281 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: DEG21102281
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aryan Shukla
Mother's Name: Suruchi Shukla
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Nov 2001 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: Mole on left arm
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 13 Nov 2001 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Aryan Shukla Passport No.: V1403718
Date of Expiry: 21 Jul 2031 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: 121/242 Y-block Kidwai Nagar Kanpur Uttar Pradesh P Block 101 Silver line apartments Lucknow Uttar Pradesh
State: Uttar Pradesh Country: India
Pin: 208001 City/District: Kanpur
Mobile no: 9264937379 Telephone No. with STD code: 07525931983
Aadhar Card No:229028699866 E-mail: aryaanmummy@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Suruchi Shukla Relationship with candidate: Mother
Parents Date of Birth: 19 Dec 1983 Parent's/Guardian's Occupation/Designation: Manager
   
Office Address:
   
Address: Beeaar hyundai Hazratganj Lucknow Sunny Toyota, Lucknow
Country: India State: Uttar Pradesh
City/District: Kanpur Pin: 208001
Tel: 09264937379 Mobile no.: 7525931983
Fax: Email: aryaanmummy@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Central Academy School: Central Academy
City: Lucknow City: Lucknow
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Address of School/College: Sector-14 Indira Nagar Lucknow
  Centre code:
  Pin: 226001
  Contact Nos:
  Email: info.inr@centralacademyschool.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 85 85
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 76
English 100 93 93
   
IMU CET Application Number: CET21U1002708  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2021 Cricket Interhouse competition 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By prepering for merchant navy and working on physical fitness
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical science
Why do you wish to join TMI?: Good
What are your hobbies?: Football, singing, learning about new things
What are your strengths?: Teamwork, leadership qualities, good listener, quick learner , patience
What are your weaknesses?: No such weakness
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

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Date ________________

 
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