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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Yash Nigam
Mother's Name: Kiran Nigam
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jun 2001 Nationality: Indian
Place of Birth: LUCKNOW Personal Identification Mark: Small little mole in the bottom of my nose
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 24 Jun 2001 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Yash Nigam Passport No.: V0145561
Date of Expiry: 06 Jan 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: 226,NEW ASHUTOSH NAGAR, KRISHNA NAGAR
State: Uttar Pradesh Country: India
Pin: 226023 City/District: LUCKNOW
Mobile no: 7388957687 Telephone No. with STD code:
Aadhar Card No:715857176708 E-mail: yashnigam24052001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SUSHANT NIGAM Relationship with candidate: Father
Parents Date of Birth: 02 Jan 1974 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Talkatora Rd, Block C, Rajajipuram
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226004
Tel: Mobile no.: 7388957687
Fax: Email: YASHNIGAM24052001@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: ISCE Board: ISCE
School: City Montessori School School: Modern Academy
City: LUCKNOW City: LUCKNOW
English %: 64 Board Roll No./Seat No.: 6461463
Aggregate Percentage: 72 School/College Code: UP172
  Address of School/College: Near Water Tank, Viram Khand 5, Gomti Nagar, Lucknow, Uttar Pradesh
  Centre code: 2192799
  Pin: 226023
  Contact Nos: 05222726828
  Email: modernacademy@gmail.com
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 70 70
Mathematics 100 45 45
Physics, Chemistry & Mathematics combined Percentage: 62.67
English 100 80 80
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2017 SWIMMING INTERSCHOOL RUNNERUP
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: SEARCHING FOR MYSELF, SPENDING TIME IN SEARCH OF ME
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: IT IS THE BEST OPTION FOR ME AS I HAVE DREAMT OF BECOMING A CAPTAIN OF THE SHIP
Why do you wish to join TMI?: TMI IS THE BEST IN ITS FIELD
What are your hobbies?: SWIMMING,READING BOOKS,GYMNASIUM
What are your strengths?: DEDICATION, FOCUS, ALONE, PUTTING FULL ENERGY TO THE WORK
What are your weaknesses?: GIVING MY 100 PERCENT WHERE NOT EVEN NEEDED,HAVING OCD PROBLEM AND HARD ON SAYING NO IF SOMEONE ASKS FOR HELP
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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