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.Sc. Nautical Science
Dossier ID: DEG2168608 Name: Siddharth Malik
  Address: Gohana chopra colony Gali number 3 Chopra colony Gali number 3 gohana haryana
Telephone No.: Mobile no: 9728613507
E-mail: siddharthmalik446@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 419438672
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2168608 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.Sc. Nautical Science
Dossier ID: DEG2168608
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Siddharth Malik
Mother's Name: Anita Malik
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Feb 2003 Nationality: Indian
Place of Birth: Rohtak Personal Identification Mark: Chin
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 12 Feb 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Siddharth Passport No.: U8944990
Date of Expiry: 03 Jan 2031 Place of Issue: Delhi
(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: Gohana chopra colony Gali number 3 Chopra colony Gali number 3 gohana haryana
State: Haryana Country: India
Pin: 131301 City/District: Sonipat
Mobile no: 9728613507 Telephone No. with STD code:
Aadhar Card No:233308413132 E-mail: siddharthmalik446@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Yogender malik Relationship with candidate: Son
Parents Date of Birth: 07 Mar 1976 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Gohana chopra colony Gali number 3 Chopra colony Gali number 3 gohana haryana
Country: India State: Haryana
City/District: Sonipat Pin: 131301
Tel: Mobile no.: 7988487607
Fax: Email: yogendersingh432@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Haryana
School: JOHN WESLEY CONVENT SCHOOL School: Chaudhry shyamchand senior secondary school
City: Rohtak City: Sonipat
English %: 62 Board Roll No./Seat No.: 3020694473
Aggregate Percentage: 63 School/College Code: 18262
  Address of School/College: VPO- Lath , Sonipat
  Centre code: 70218016
  Pin: 131301
  Contact Nos:
  Email: siddharthmalik446@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 74 74
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 72
English 100 72 72
   
IMU CET Application Number: CETF21300358  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I usually help my father in field.He is a farmer.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I want to build a career in merchant navy.
Why do you wish to join TMI?: I want to join TMI because it is the best institute of India for nautical science and for it,s best placement percentage.
What are your hobbies?: Swimming,cycling
What are your strengths?: Discipiline, Determination, Enthusiasm
What are your weaknesses?: Introverted
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
 
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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