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: DEG2168258 Name: HARSH SINGH
  Address: C/O MR RAVI PRAKASH SINGH MADHUKAR RAI WARD NO 8 NEAR OLD DURGA POOJA GAHMAR GHAZIPUR
Telephone No.: Mobile no: 9555734448
E-mail: harshsinghbhs@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 421888756
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2168258 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: DEG2168258
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HARSH SINGH
Mother's Name: UMRAVATI SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jun 2004 Nationality: INDIAN
Place of Birth: GHAZIPUR Personal Identification Mark: BURN MARK ON LEFT HAND
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 21 Jun 2004 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: C/O MR RAVI PRAKASH SINGH MADHUKAR RAI WARD NO 8 NEAR OLD DURGA POOJA GAHMAR GHAZIPUR
State: Uttar Pradesh Country: India
Pin: 232327 City/District: GHAZIPUR
Mobile no: 9555734448 Telephone No. with STD code:
Aadhar Card No:765522415652 E-mail: harshsinghbhs@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAVI PRAKASH SINGH Relationship with candidate: FATHER
Parents Date of Birth: 02 Jun 1969 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: MADHUKAR RAI WARD NO 8 OLD DURGA POOJA GAHMAR GHAZIPUR
Country: India State: Uttar Pradesh
City/District: GHAZIPUR Pin: 232327
Tel: Mobile no.: 9555734448
Fax: Email: harshsinghbhs@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: BOYS HIGH SCHOOL AND COLLEGE PRAYAGRAJ School: BOYS HIGH SCHOOL AND COLLEGE
City: PRAYAGRAJ City: PRAYAGRAJ
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: 4 P D TANDON ROAD CIVIL LINES PRAYAGRAJ
  Centre code:
  Pin: 211001
  Contact Nos:
  Email: principal@boyshighschool.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PLAYING CRICKET AND READING BOOKS
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BECAUSE IT IS ADVENTURES AND GOOD CAREER OPTION
Why do you wish to join TMI?: GOOD COLLEGE
What are your hobbies?: PLAYING CRICKET
What are your strengths?: FIGHTING
What are your weaknesses?: OVERTHINKING
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 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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