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: DEG2168487 Name: LAKSHAYA RAJ SHARMA
  Address: B-567 RANJIT AVENUE
Telephone No.: Mobile no: 9465801127
E-mail: sharmaashu130103@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: 421916376
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2168487 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: DEG2168487
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: LAKSHAYA RAJ SHARMA
Mother's Name: NITIKA SHARMA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jan 2003 Nationality: INDIAN
Place of Birth: AMRITSAR Personal Identification Mark: MOLE ON FACE
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 13 Jan 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : LAKSHAYA RAJ SHARMA Passport No.: U3008401
Date of Expiry: 02 Feb 2031 Place of Issue: AMRITSAR
(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: B-567 RANJIT AVENUE
State: Punjab Country: India
Pin: 143001 City/District: AMRITSAR
Mobile no: 9465801127 Telephone No. with STD code:
Aadhar Card No:498127694543 E-mail: sharmaashu130103@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ASHU SHARMA Relationship with candidate: FATHER
Parents Date of Birth: 24 Aug 1978 Parent's/Guardian's Occupation/Designation: EMPLOYEE
   
Office Address:
   
Address: B-567 RANJIT AVENUE
Country: India State: Punjab
City/District: AMRITSAR Pin: 143001
Tel: Mobile no.: 9465801127
Fax: Email: sharmaashu130103@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: MANAV PUBLIC SCHOOL School: MANAV PUBLIC SCHOOL
City: AMRITSAR City: AMRITSAR
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: ANAND AVENUE,AMRITSAR
  Centre code:
  Pin: 143001
  Contact Nos: 01832503440
  Email: manav_school@yahoo.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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2018 400m Race Interclass competition 1st
10/2019 200m Race Interclass competition 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would love to join swimming and spending my quality time with parents and grandparents.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As many members of my family had already been into this job and i personally had loved to be on ship and wanted to go through this adventurous and challenging life.
Why do you wish to join TMI?: To feel the hardwork and adventure.
What are your hobbies?: Playing badminton, Reading books.
What are your strengths?: parents
What are your weaknesses?: playing
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport 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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