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.Tech. Marine Engineering
Dossier ID: DEG2168827 Name: Gaurav Kumar
  Address: Mahuawa Bajaratar Tarkulwa
Telephone No.: Mobile no: 8318614689
E-mail: gauravakp2001@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 412330283
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2168827 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.Tech. Marine Engineering
Dossier ID: DEG2168827
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Gaurav Kumar
Mother's Name: Poonam Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Jul 2003 Nationality: Indian
Place of Birth: Deoria Personal Identification Mark: Burning mark on left leg
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 04 Jul 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: Mahuawa Bajaratar Tarkulwa
State: Uttar Pradesh Country: India
Pin: 274408 City/District: Deoria
Mobile no: 8318614689 Telephone No. with STD code:
Aadhar Card No:905709996030 E-mail: gauravakp2001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Akhilesh Kumar Prajapati Relationship with candidate: Father
Parents Date of Birth: 18 Jan 1977 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Mahuawa Bajaratar Tarkulwa
Country: India State: Uttar Pradesh
City/District: Deoria Pin: 274408
Tel: Mobile no.: 9838088148
Fax: Email: kumarprajapati1977@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: CBSE
School: St Joseph School School: Sanskriti Public School
City: Gorakhpur City: Gorakhpur
English %: 58 Board Roll No./Seat No.: 23641137
Aggregate Percentage: 84 School/College Code: 70513
  Address of School/College: Ranidiha , Khorabar , Gorakhpur
  Centre code: 7115
  Pin: 273010
  Contact Nos:
  Email: sanskriti_ps@yahoo.com
  Aggregate Percentage: 87
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 89 89
Chemistry 100 75 75
Mathematics 100 77 77
Physics, Chemistry & Mathematics combined Percentage: 80.33
English 100 89 89
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Upto now , I have not joined any collage . I spend my time by playing cricket , volleyball with freinds . And I am just preparing for nautical science and marine engineering exams.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think Nautical Science / Marine Engineering degrees are better options because from childhood , I have passion towards ships , to wave over sea water.
Why do you wish to join TMI?: I think it is best collage for me.
What are your hobbies?: playing cricket , listening music
What are your strengths?: Immediate actions/decisions
What are your weaknesses?: guessing wrong options
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 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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