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: DEG2169624 Name: Dhruvyash Shrigyan
  Address: 1B SUSHILA NIKETE BEHIND RELIANCE MART OPPOSITE SHASHWAT APRTMENT,HATMA
Telephone No.: 09060525373 Mobile no: 9060525373
E-mail: dhruvyash21@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 437049247
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169624 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: DEG2169624
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dhruvyash Shrigyan
Mother's Name: Kumkum Shrigyan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Apr 2003 Nationality: Indian
Place of Birth: RANCHI Personal Identification Mark: No such
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 15 Apr 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: 1B SUSHILA NIKETE BEHIND RELIANCE MART OPPOSITE SHASHWAT APRTMENT,HATMA
State: Jharkhand Country: India
Pin: 834008 City/District: RANCHI
Mobile no: 9060525373 Telephone No. with STD code: 09060525373
Aadhar Card No:616043906895 E-mail: dhruvyash21@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Deepankar Shrigyan Relationship with candidate: Father
Parents Date of Birth: 26 Jul 1975 Parent's/Guardian's Occupation/Designation: Banker
   
Office Address:
   
Address: 1B SUSHILA NIKETE BEHIND RELIANCE MART OPPOSITE SHASHWAT APRTMENT,HATMA
Country: India State: Jharkhand
City/District: RANCHI Pin: 834008
Tel: Mobile no.: 8570821555
Fax: Email: deepshrigyan26@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Sarala Birla public school School: Private
City: RANCHI City: RANCHI
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Address of School/College: Private
  Centre code:
  Pin: 834008
  Contact Nos: 9060525373
  Email: dhruvyash21@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
12/2018 Badminton Inter school 3rd
01/2018 Chess In school only Under 10
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: To explore what I like
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I love geography and science
Why do you wish to join TMI?: Actually my uncle did marine engineering from here and I am inspired from him
What are your hobbies?: Reading, teaching
What are your strengths?: A worthy team leader as well as team member
What are your weaknesses?: Knowledge, I need to grasp more
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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