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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG21102428 Name: Alice
  Address: B164 Utsav Part 1 Mahanagar, Bareilly
Telephone No.: 8279526326 Mobile no: 8279526329
E-mail: alicesmith2616@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: 13971426444
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21102428 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG21102428
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Alice
Mother's Name: Neelam Kumari
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Jul 2003 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: A mole in right palm
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 26 Jul 2003 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: B164 Utsav Part 1 Mahanagar, Bareilly
State: Uttar Pradesh Country: India
Pin: 243006 City/District: Bareilly
Mobile no: 8279526329 Telephone No. with STD code: 8279526326
Aadhar Card No:775196046259 E-mail: alicesmith2616@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Neelam Kumari Relationship with candidate: Mother
Parents Date of Birth: 12 May 1974 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: GTI CB Ganj
Country: India State: Uttar Pradesh
City/District: Bareilly Pin: 243006
Tel: Mobile no.: 6396888274
Fax: Email: neelamkumari0148@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: SR International School: SR International
City: Bareilly City: Bareilly
English %: 92 Board Roll No./Seat No.: 21622278
Aggregate Percentage: 90 School/College Code: 60518
  Address of School/College: Bisalpur Road, Bareilly
  Centre code:
  Pin: 243006
  Contact Nos:
  Email: srinternational@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 77 77
Mathematics 100 69 69
Physics, Chemistry & Mathematics combined Percentage: 76.33
English 100 95 95
   
IMU CET Application Number: CET21U1015101  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2015 Maths Olympiad State 2
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I worked on my body strength and character, learned computer and foreign languages
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Once I saved a person whose boat was wrecked even I love working with technology and travelling in sea
Why do you wish to join TMI?: I always dreamt of working on ship as technician and even it requires concentration which is my strength
What are your hobbies?: Reading Novels, Badminton
What are your strengths?: Leadership, Creativity,Open mindedness, Concentration
What are your weaknesses?: Honesty,Taking too many risk, Speaking fastly
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

 

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Date ________________

 
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