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.Tech. Marine Engineering
Dossier ID: DEG21102515 Name: Ajay Singh
  Address: 2D TRANSIT HOUSE BANDARIYA BAGH RAILWAY COLONY lucknow
Telephone No.: Mobile no: 8865098722
E-mail: ajaysingh29903@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: 13973629021
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21102515 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.Tech. Marine Engineering
Dossier ID: DEG21102515
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ajay Singh
Mother's Name: Anshu Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Sep 2003 Nationality: INDIAN
Place of Birth: Mathura Personal Identification Mark: MOLE in right hand middle finger
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 29 Sep 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: 2D TRANSIT HOUSE BANDARIYA BAGH RAILWAY COLONY lucknow
State: Uttar Pradesh Country: India
Pin: 226001 City/District: Lucknow
Mobile no: 8865098722 Telephone No. with STD code:
Aadhar Card No:792811493215 E-mail: ajaysingh29903@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ravindra singh Relationship with candidate: father
Parents Date of Birth: 04 Jan 1968 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: 2D TRANSIT HOUSE BANDARIYA BAGH RAILWAY COLONY lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226001
Tel: 08865098722 Mobile no.: 9793827106
Fax: Email: 4168RSINGH@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: THE MILLENNIUM SCHOOL School: THE MILLENNIUM SCHOOL
City: lucknow City: lucknow
English %: 80 Board Roll No./Seat No.: 23691822
Aggregate Percentage: 71 School/College Code: 70966
  Address of School/College: 2D TRANSIT HOUSE BANDARIYA BAGH RAILWAY COLONY lucknow
  Centre code: 70966
  Pin: 226001
  Contact Nos: 88650988722
  Email: ajaysingh29903@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 61 61
Chemistry 100 68 68
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 63.67
English 100 67 67
   
IMU CET Application Number: CET21U1014615  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: EXERCISE,BADMINTON,SWIMMING
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: IT IS A GOOD CAREER OPTION
Why do you wish to join TMI?: I WANT TO JOIN
What are your hobbies?: GYM,EXERCISE,BADMITON
What are your strengths?: Leadership skills
What are your weaknesses?: TRUST EASILY ON PEOPLE
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 not uploaded
 
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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