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: DEG2169058 Name: Thakur Ujjwal Singh
  Address: Vill- Baghar PO- Haryal
Telephone No.: Mobile no: 9370040389
E-mail: thakurujjwalsingh2@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 413703463
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169058 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: DEG2169058
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Thakur Ujjwal Singh
Mother's Name: Anjana Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Aug 2003 Nationality: Indian
Place of Birth: Pathankot Personal Identification Mark: Black Mole on Chin
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 20 Aug 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Thakur Ujjwal Singh Passport No.: R5214551
Date of Expiry: 19 Aug 2021 Place of Issue: Jalandhar
(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: Vill- Baghar PO- Haryal
State: Punjab Country: India
Pin: 145001 City/District: Pathankot
Mobile no: 9370040389 Telephone No. with STD code:
Aadhar Card No:367140520761 E-mail: thakurujjwalsingh2@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Anjana Devi Relationship with candidate: Mother
Parents Date of Birth: 01 Apr 1979 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: H.no- 121, Defence Colony Chhatwal Po- Jandwal
Country: India State: Punjab
City/District: Pathankot Pin: 145001
Tel: Mobile no.: 7837024001
Fax: Email: anjana.chib01@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: The Indian heritage School School: The Indian heritage School
City: Pathankot City: Pathankot
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: Bungal, pathankot, Pin-145001
  Centre code:
  Pin: 145001
  Contact Nos:
  Email: educationihs@gmail.com
  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 ?: Will go on vacation for about a week as i love to travel and then utilise the time that i am left with to cope up with my Studies.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: This Job pays well and also helps me fulfil my passion towards travelling the world
Why do you wish to join TMI?: It is a renowned institute and guarantees placement.
What are your hobbies?: Playing Guitar, Singing, Playing Sports
What are your strengths?: Determined, Confidence, Acceptance, Bold and always keen to learn new things
What are your weaknesses?: Trust Issues, Can be influenced by crowded opinions
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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