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: DEG2169281 Name: Aditya Raj Mishra
  Address: 324, Prithvi Puram Arjunganj, Lucknow
Telephone No.: Mobile no: 9695694499
E-mail: adityamisra.142002@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 437303269
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169281 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: DEG2169281
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aditya Raj Mishra
Mother's Name: Reena Mishra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Jan 2002 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: Birth mark on right thigh
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 14 Jan 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Aditya Raj Mishra Passport No.: U7257555
Date of Expiry: 14 Apr 2031 Place of Issue: Delhi
(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: 324, Prithvi Puram Arjunganj, Lucknow
State: Uttar Pradesh Country: India
Pin: 226002 City/District: Lucknow
Mobile no: 9695694499 Telephone No. with STD code:
Aadhar Card No:893721450144 E-mail: adityamisra.142002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Alok Mishra Relationship with candidate: Father
Parents Date of Birth: 31 Jul 1972 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: s-507, 1st Floor Transport Nagar , Lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226002
Tel: Mobile no.: 9897646801
Fax: Email: alokmisra.2@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya School: Kendriya Vidyalaya
City: Lucknow City: Lucknow
English %: 69 Board Roll No./Seat No.: 23679248
Aggregate Percentage: 74 School/College Code: 74102
  Address of School/College: Kendriya Vidyalaya, Dilkusha Cantt, Lucknow
  Centre code: 7206
  Pin: 226002
  Contact Nos:
  Email: aryanmisr.8@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 71 71
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 68.67
English 100 91 91
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spend time by doing my hobbies and preparing for IMUCET exam.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical Science is good for me because after study it I can build my career in merchant navy.
Why do you wish to join TMI?: TMI is the best institute to study nautical science and pursue my career in merchant navy.
What are your hobbies?: Driving ,Gaming , Cycling
What are your strengths?: Time Management, Teamwork
What are your weaknesses?: Not a social person
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
 
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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