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: DEG2169294 Name: UJJWAL KAPIL
  Address: D-268/1 SUBHASH NAGAR ROORKEE
Telephone No.: Mobile no: 7983542987
E-mail: ujjwalkapil20@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 415011548
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169294 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: DEG2169294
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: UJJWAL KAPIL
Mother's Name: RADHA RANI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Aug 2003 Nationality: INDIAN
Place of Birth: ROORKEE Personal Identification Mark: MOLE ON LEFT SIDE OF FACE
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 08 Aug 2003 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: D-268/1 SUBHASH NAGAR ROORKEE
State: Uttaranchal Country: India
Pin: 247667 City/District: ROORKEE
Mobile no: 7983542987 Telephone No. with STD code:
Aadhar Card No:493683607983 E-mail: ujjwalkapil20@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DINESH KAPIL Relationship with candidate: FATHER
Parents Date of Birth: 12 Jul 1967 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: RAHAMATPUR FALODA
Country: India State: Uttar Pradesh
City/District: SAHARANPUR Pin: 247668
Tel: Mobile no.: 9719764925
Fax: Email: deekshakapil2015@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: MONTFORT SCHOOL School: DELHI PUBLIC SCHOOL
City: ROORKEE City: ROORKEE
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: Opp. Power Grid, Dehradun Road, Puhana, Roorkee, Uttarakhand
  Centre code:
  Pin: 247667
  Contact Nos:
  Email: dpsroorkee@yahoo.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
01/2018 KICK BOXING NATIONAL 5TH
07/2011 DANCE INTER SCHOOL 2ND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: IMPROVE FITNESS IMPROVE SPEAKING SKILLS
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I LIKE DISCIPLINED LIFE OF ARMY AND MERCHANT NAVY WANT TO EXPLORE THE WORLD WANT TO INTERACT WITH PEOPLE OF DIFFERENT CULTURE AND REGIONS FINANCIALLY STABLE LIFE
Why do you wish to join TMI?: JOINING TMI IS LIKE A DREAM COME TRUE FOR ALL THE MERCHANT NAVY ASPIRANTS. TMI HAS A GREAT PLACEMENT RECORD GREAT INFRASTRUCTURE QUALITY EDUCATION AND AMAZING SPORTS FACILITY
What are your hobbies?: DANCING,GYMMING,FIELD SPORTS,
What are your strengths?: ACTIVE,EVERREADY,ACCOMODATING IN NATURE,
What are your weaknesses?: SENSITIVE,TOO HELPFUL
How do you intend to meet the expenses of this program?: Own Resources,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 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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