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: DEG2169588 Name: Kushagra Kapoor
  Address: 12/16 Yaman Sahara States Jankipuram Lucknow UP
Telephone No.: 7607189461 Mobile no: 7607189461
E-mail: kushagrakapoor202@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 417366931
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169588 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: DEG2169588
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kushagra Kapoor
Mother's Name: Ritu Mehrotra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Aug 2003 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Dimple on left cheek
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 19 Aug 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Kushagra Kapoor 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: 12/16 Yaman Sahara States Jankipuram Lucknow UP
State: Uttar Pradesh Country: India
Pin: 226021 City/District: Lucknow
Mobile no: 7607189461 Telephone No. with STD code: 7607189461
Aadhar Card No: E-mail: kushagrakapoor202@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Naveen Kapoor Relationship with candidate: Father
Parents Date of Birth: 10 Oct 1968 Parent's/Guardian's Occupation/Designation: Senioar Technical Director NIC
   
Office Address:
   
Address: NIC Office Sachivalaya
Country: India State: Uttar Pradesh
City/District: lucknow Pin: 226001
Tel: Mobile no.: 9450301821
Fax: Email: naveenkap68@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 School: Rasphil Academy
City: Lucknow City: lucknow
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: Kanchana Bihari Marg, Adil Nagar, Lucknow, Uttar Pradesh
  Centre code:
  Pin: 226022
  Contact Nos:
  Email: info@rasphilacademy.com
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 91 91
Chemistry 100 85 85
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 82.33
English 100 85 85
   
IMU CET Application Number: 6001868  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
03/2021 Swimming Inter DPS National Swimming Meet Participation
07/2012 Badminton District Badminton Championship Participation
05/2015 Swimming State Level Championship Participation
08/2014 Swimming District Swimming Competition 3rd and 6th
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
09/2013 CATS Abacus 2 years
06/2021 Keyboard training 2 months
06/2020 Ukulele Training 6 months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After the completion of my class XII board exams I would like to travel to Andaman and Nicobar islands with my mother and my father. I would also like to learn more about music theory and instruments.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think Marine Engineering/Nautical Science is good option for me because I find marine sciences and ship machinery very interesting. It would give me great pleasure to be in command of a ship equipped with high grade technology and machinery.
Why do you wish to join TMI?: I wish to join TMI because TMI provides one of the best infrastructure and training opportunities to the students.My cousin recommended this institute as the best college for learning and research.
What are your hobbies?: My hobbies are to play Ukulele and feed birds in my vicinity.
What are your strengths?: My strengths include diversified knowledge in Defence Sector and ability to swim like a shark.
What are your weaknesses?: My weaknesses include knowledge in inorganic chemistry and weak legs.
How do you intend to meet the expenses of this program?: 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
 
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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