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: DEG21102537 Name: Harsh Saxena
  Address: A 1001 high end paradise rajnagar extension ghaziabad office 19 amrit plaza suryanagar ghaziabad
Telephone No.: Mobile no: 9711204051
E-mail: saxenaharsh2006@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Online
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21102537 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: DEG21102537
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Harsh Saxena
Mother's Name: Geeta Saxena
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Aug 2003 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: mole near left eye
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 18 Aug 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Harsh Saxena Passport No.: U3425800
Date of Expiry: 27 Dec 2030 Place of Issue: Ghaziabad
(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: A 1001 high end paradise rajnagar extension ghaziabad office 19 amrit plaza suryanagar ghaziabad
State: Uttar Pradesh Country: India
Pin: 201002 City/District: Ghaziabad
Mobile no: 9711204051 Telephone No. with STD code:
Aadhar Card No:743849580831 E-mail: saxenaharsh2006@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Geeta Saxena Relationship with candidate: Mother
Parents Date of Birth: 09 Oct 1982 Parent's/Guardian's Occupation/Designation: Self employed
   
Office Address:
   
Address: 19 amrit plaza suryanagar ghaziabad A 1001 high end paradise rajnagar extension
Country: India State: Uttar Pradesh
City/District: Ghaziabad Pin: 201002
Tel: Mobile no.: 9958684440
Fax: Email: geetasaxena2012@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Gd goenka public school School: GD goenka public school
City: Ghaziabad City: Ghaziabad
English %: 81 Board Roll No./Seat No.: 21663876
Aggregate Percentage: 87 School/College Code:
  Address of School/College: Gd goenka public school rajnagar extension ghaziabad
  Centre code:
  Pin: 201003
  Contact Nos:
  Email: principal@gdgoenkagzb.com
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 85 85
Chemistry 100 89 89
Mathematics 100 78 78
Physics, Chemistry & Mathematics combined Percentage: 84
English 100 91 91
   
IMU CET Application Number: CET21U1014539  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
09/2021 Art competition Inter school 3rd
08/2019 Sports competition intra school 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I want to explore various options that i can consider to decide my career
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have always loved sea and wanted to see many countries so degree in nautical science can help me achieve that
Why do you wish to join TMI?: Because i liked the infrastructure and their teaching methods
What are your hobbies?: I love to play badminton and basketball
What are your strengths?: I am able to give my all towards completing my goal
What are your weaknesses?: I am unable to communicate well with each other
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 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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