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: DEG2169169 Name: ROHAN GUPTA
  Address: H NO.387, WARD NO. 7 SWASTIK NAGAR, JOGBANI
Telephone No.: Mobile no: 7319976099
E-mail: rohangupta10702@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: 431311663
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169169 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: DEG2169169
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ROHAN GUPTA
Mother's Name: SUNITA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jul 2002 Nationality: INDIAN
Place of Birth: JOGBANI Personal Identification Mark: MOLE ON THE RIGHT SIDE OF NECK
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 10 Jul 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: H NO.387, WARD NO. 7 SWASTIK NAGAR, JOGBANI
State: Bihar Country: India
Pin: 854328 City/District: ARARIA
Mobile no: 7319976099 Telephone No. with STD code:
Aadhar Card No:374512282136 E-mail: rohangupta10702@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SUVAM GUPTA Relationship with candidate: BROTHER
Parents Date of Birth: 13 Apr 1995 Parent's/Guardian's Occupation/Designation: SEAFARER
   
Office Address:
   
Address: H NO.387, WARD NO. 7 SWASTIK NAGAR, JOGBANI
Country: India State: Bihar
City/District: ARARIA Pin: 854328
Tel: Mobile no.: 8527701609
Fax: Email: suvamgupta70@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DAV School: DAV
City: BIRATNAGAR City: BIRATNAGAR
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: DEDRAJ SEWALI DEVI TODI ,DAV-KVB SCHOOL, MAIN HIGHWAY, BIRATNAGAR 13, NEPAL
  Centre code:
  Pin: 56613
  Contact Nos:
  Email: info@dav.edu.np
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2019 football interschool first prize holder
11/2019 table tennis interschool second prize holder
11/2019 volleyball interschool second prize holder
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By preparing for college exams and involving in self developing activities like communication skills and fitness.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because this field is a package of my common interest that I have related to mechanics and exploring different mechanical things which is well provided by this degree with many challenges and aspects related to life and career.
Why do you wish to join TMI?: Because it is one of the renown college which gives best atmosphere in education, discipline, and extra curricular activities for better life and career.
What are your hobbies?: my hobbies is to play and experience different sports including playing guitar.
What are your strengths?: leadership, writing skills, self motivating
What are your weaknesses?: communication, public speaking
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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