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: DEG2169283 Name: Kushagra Gangwar
  Address: Vill barjhala kaimganj District-Farrukhabad
Telephone No.: Mobile no: 8630682719
E-mail: kushagragangwar007@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1229 (Includes Convenience fee of ₹ 29.0 ) DD Number: -
Issuing Bank: - Transaction Id: 414841354
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169283 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: DEG2169283
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kushagra Gangwar
Mother's Name: Sanjay kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jul 2004 Nationality: Indian
Place of Birth: Farrukhabad Personal Identification Mark: Mole
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 08 Jul 2004 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: Vill barjhala kaimganj District-Farrukhabad
State: Uttar Pradesh Country: India
Pin: 209502 City/District: Farrukhabad
Mobile no: 8630682719 Telephone No. with STD code:
Aadhar Card No:554153096656 E-mail: kushagragangwar007@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vivek kumar Relationship with candidate: Father
Parents Date of Birth: 08 Mar 1967 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Vill barjhala kaimganj Farrukhabad
Country: India State: Uttar Pradesh
City/District: Farrukhabad Pin: 209502
Tel: 8630682719 Mobile no.: 8630682719
Fax: Email: kushagragangwar007@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Delhi public school agra School: Delhi public school agra
City: Agra City: Agra
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: Shastripuram agra
  Centre code:
  Pin: 282007
  Contact Nos: 8630682719
  Email: kushagragangwar007@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2018 Inter school football competition Player 1st
08/2017 Inter school football competition Player 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will spend my half time with my friend and family and other Time in searching and finding colleges and giving entrance Exam to various University to different destination
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because my hobbies are somewhat in engineering i perform Many home tasks such as building up music systems repairing Household appliances etc.
Why do you wish to join TMI?: I wish to join TMI as it is the best university in india and Every student wants best institute as per their requirement So therefore on my side i wants to join TMI
What are your hobbies?: Talking with freinds, roaming outside,and spending time with my father
What are your strengths?: My strength is my family
What are your weaknesses?: My weakness is my mother
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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