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: DEG7068226 Name: Ayan Kumar Dwivedi
  Address: 3A,Block-2 Shalimar Bagh society,New Pundag between Kathal more and agora chawk
Telephone No.: 0651 Mobile no: 8709507469
E-mail: wdempt@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 408819216
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068226 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: DEG7068226
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ayan Kumar Dwivedi
Mother's Name: Shweta Dwivedi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Aug 2003 Nationality: Indian
Place of Birth: Kolkata Personal Identification Mark: Brown dots on inner left thigh
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 28 Aug 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: 3A,Block-2 Shalimar Bagh society,New Pundag between Kathal more and agora chawk
State: Jharkhand Country: India
Pin: 834004 City/District: Ranchi
Mobile no: 8709507469 Telephone No. with STD code: 0651
Aadhar Card No:653487717427 E-mail: wdempt@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Narendra Kumar Dwivedi Relationship with candidate: Father
Parents Date of Birth: 28 Jan 1971 Parent's/Guardian's Occupation/Designation: CRPF
   
Office Address:
   
Address: GC,CRPF ADRANI AGARTALA
Country: India State: Tripura
City/District: Agartala Pin: 799012
Tel: 0651 Mobile no.: 7979976711
Fax: Email: dwivedianu28@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Jvm Shyamali School: Aracdia Academy
City: Ranchi City: kota
English %: 82 Board Roll No./Seat No.: 11692129
Aggregate Percentage: 65 School/College Code: 10562
  Address of School/College: Manish nagar,Ramkrishapuram
  Centre code: 10562
  Pin: 324010
  Contact Nos:
  Email: arcadiaacademy@gmail.com
  Aggregate Percentage: 65
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 60 60
Chemistry 100 63 63
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 61
English 100 59 59
   
IMU CET Application Number: 6004630  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2014 Sports competition school level 1st in shot put
07/2015 Sports competition school level 1st in tug of war
02/2016 Art competition school level 2nd
10/2019 Gk Olympiad school level 5th
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
08/2013 English speaking course 3 months
02/2013 Abacus 1 month
06/2015 Drawing classes 3 months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I love exercising,so I will join a gym and work on my legs as I want to be fast,fast enough to defeat my Friends in race.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: To be honest,i will get a high paying job and I get to travel different countries and the holidays are very long so I will have enough time to do everything I want.
Why do you wish to join TMI?: Because,its one of the beat merchant navy institutes in India,placement is very good,and campus is awesome
What are your hobbies?: Browsing Internet on topics that interest me,comics
What are your strengths?: Can control my emotions very well,homour
What are your weaknesses?: why would I tell anyone my weaknesses
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Your passport not uploaded 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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