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.Sc. Nautical Science
Dossier ID: DEG2169022 Name: Mayank Sharma
  Address: harichand sharma Sharma niwas dfo road chaupal tehsil chaupal shimla himachal pradesh
Telephone No.: Mobile no: 8580576948
E-mail: mayank87854@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426164413
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169022 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.Sc. Nautical Science
Dossier ID: DEG2169022
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mayank Sharma
Mother's Name: Gulabi Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Mar 2002 Nationality: Indian
Place of Birth: Shimla Personal Identification Mark: burn scar on leg
Blood Group: A -  
 
Date of Birth (DD/MM/YY): 11 Mar 2002 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: harichand sharma Sharma niwas dfo road chaupal tehsil chaupal shimla himachal pradesh
State: Himachal Pradesh Country: India
Pin: 171211 City/District: Chaupal
Mobile no: 8580576948 Telephone No. with STD code:
Aadhar Card No:914778828653 E-mail: mayank87854@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Harichand sharma Relationship with candidate: Father and son
Parents Date of Birth: 25 Nov 1968 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: CHT office Bhaloo sub tehsil Kupvi Tehsil chaupal distt Shimla Himachal Pradesh
Country: India State: Himachal Pradesh
City/District: Chaupal Pin: 171211
Tel: Mobile no.: 9805269497
Fax: Email: mayank87854@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: DAV chaupal School: MRA DAV SOLAN
City: Chaupal City: SOLAN
English %: 87 Board Roll No./Seat No.: 17711818
Aggregate Percentage: 84 School/College Code: 43032
  Address of School/College: MRA DAV SOOAN, BYE PASS , DISTT SOLAN , HP
  Centre code: 4469
  Pin: 173213
  Contact Nos:
  Email: mradavschool@yahoo.com
  Aggregate Percentage: 90
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 95 95
Chemistry 100 76 76
Mathematics 100 95 95
Physics, Chemistry & Mathematics combined Percentage: 88.67
English 100 89 89
   
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
06/2012 DECLAMATION DISTT 1st
09/2018 VOLLEYBALL NORTH ZONE 3RD
10/2019 VOLLEYBALL STATE NO POSITION
06/2014 ATHLETICS DISTT 3RD
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
02/2019 ANGER MANAGEMENT 2 DAYS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPAIRING FOR DEFENCE EXAMS AND IMUCET
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: IT S A INTERESTING CAREER OPTION AND IS WHAT I CAN REALLY ENJOY
Why do you wish to join TMI?: OBVIOUSLY IT IS THE BEST MARITIME INSTITUTE IN COUNTRY
What are your hobbies?: GYM , SPORTS , AND WATCHING YOU TUBE
What are your strengths?: FATHER
What are your weaknesses?: FATHER
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

 

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Date ________________

 
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