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: DEG2168818 Name: Ashutosh Mishra
  Address: 506 Subhash nagar Sarojini nagar
Telephone No.: Mobile no: 6387251464
E-mail: ashuup1018@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 439942195
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2168818 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: DEG2168818
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashutosh Mishra
Mother's Name: Gayatri Mishra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Nov 2002 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Mole on left side above mustache
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 05 Nov 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Ashutosh Mishra 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: 506 Subhash nagar Sarojini nagar
State: Uttar Pradesh Country: India
Pin: 226008 City/District: Lucknow
Mobile no: 6387251464 Telephone No. with STD code:
Aadhar Card No:303311852329 E-mail: ashuup1018@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jai Shankar Mishra Relationship with candidate: Father
Parents Date of Birth: 15 Jul 1968 Parent's/Guardian's Occupation/Designation: Policeman UPP
   
Office Address:
   
Address: Senduria Maharajganj
Country: India State: Uttar Pradesh
City/District: Maharajganj Pin: 273207
Tel: Mobile no.: 9415798521
Fax: Email: ashuup1810@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: ISCE
School: St Thomas College School: St Angeloes College
City: Lucknow City: Lucknow
English %: 71 Board Roll No./Seat No.: 6765119
Aggregate Percentage: 82 School/College Code: 2201825
  Address of School/College: Shanti Nagar, Sarojini Nagar
  Centre code: 2201825
  Pin: 226008
  Contact Nos:
  Email: ashuuo1810@gmail.com
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 85 85
Chemistry 100 59 59
Mathematics 100 88 88
Physics, Chemistry & Mathematics combined Percentage: 77.33
English 100 67 67
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Yes
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Marine Engeneering
Why do you wish to join TMI?: My passion is to become Merchant Navy officer
What are your hobbies?: Travelling and sports
What are your strengths?: Leadership and communication
What are your weaknesses?: Creativity
How do you intend to meet the expenses of this program?: 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

 

___________________

Date ________________

 
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