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: DEG2168836 Name: GAURANG ADLAKHA
  Address: C 49 RAJENDRA NAGAR NEAR POLICE CHOWKI BAREILLY
Telephone No.: Mobile no: 9690687487
E-mail: gaurangadlakha2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 412407520
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2168836 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: DEG2168836
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GAURANG ADLAKHA
Mother's Name: JYOTI ADLAKHA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Feb 2003 Nationality: INDIAN
Place of Birth: BAREILLY Personal Identification Mark: MOLE ON FACE
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 07 Feb 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: C 49 RAJENDRA NAGAR NEAR POLICE CHOWKI BAREILLY
State: Uttar Pradesh Country: India
Pin: 243122 City/District: BAREILLY
Mobile no: 9690687487 Telephone No. with STD code:
Aadhar Card No:876680466131 E-mail: gaurangadlakha2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JYOTI ADLAKHA Relationship with candidate: MOTHER
Parents Date of Birth: 06 Nov 1980 Parent's/Guardian's Occupation/Designation: PRIVATE JOB
   
Office Address:
   
Address: C 49 RAJENDRA NAGAR NEAR POLICE CHOWKI BAREILLY
Country: India State: Uttar Pradesh
City/District: BAREILLY Pin: 243122
Tel: Mobile no.: 7055577259
Fax: Email: gaurangadlakha2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: 54032 DELHI PUB SCH PANCHWATI RAMPUR ROAD BAREILLY UP School: DELHI PUBLIC SCHOOL
City: BAREILLY City: BAREILLY
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Address of School/College: DELHI PUB SCH PANCHWATI RAMPUR ROAD BAREILLY UP
  Centre code:
  Pin: 243001
  Contact Nos: 05812427005
  Email: dpsbareilly@dps.edu
  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 ?: After final examination I will grab some more knowledge about Marine Engineering
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I is a good option because it give a change travel the whole world for free
Why do you wish to join TMI?: Because this is a best platform to learn about Marine Engineering
What are your hobbies?: Is true learn about new things.
What are your strengths?: Very heart working person
What are your weaknesses?: My weakness is death i get stressed when i miss deadlines
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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