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: DEG2169643 Name: Shivam Bhushan
  Address: Beside Shiva Mandir ,Near SBI Officers Bank Colony Devi Mandap Road , Piska More ,Ratu Road
Telephone No.: Mobile no: 8987505150
E-mail: shivambhushan1728@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431494459
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169643 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: DEG2169643
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shivam Bhushan
Mother's Name: Madhu Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Apr 2003 Nationality: Indian
Place of Birth: Ranchi Personal Identification Mark: Small Brown spot on left hand middle finger
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 28 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: Beside Shiva Mandir ,Near SBI Officers Bank Colony Devi Mandap Road , Piska More ,Ratu Road
State: Jharkhand Country: India
Pin: 834005 City/District: Ranchi
Mobile no: 8987505150 Telephone No. with STD code:
Aadhar Card No:542622946887 E-mail: shivambhushan1728@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shashi Bhushan Relationship with candidate: Father
Parents Date of Birth: 04 Aug 1968 Parent's/Guardian's Occupation/Designation: Private Service
   
Office Address:
   
Address: M.R and Company, Mahavir Chowk Upper Bazar
Country: India State: Jharkhand
City/District: Ranchi Pin: 834001
Tel: Mobile no.: 9771427644
Fax: Email: shashibhushan4868@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Surendranath Centenary School: Jawahar Vidya Mandir
City: Ranchi City: Ranchi
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code: 66230
  Address of School/College: MECON Colony, Shyamali Colony,Doranda
  Centre code: 00000
  Pin: 834002
  Contact Nos:
  Email: jvmshyamali@yahoo.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 92 92
Chemistry 100 94 94
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 87.33
English 100 90 90
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2011 Diploma of Sangeet Visharad 5 Years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: go to my village improve my speaking skills workout on my fitness and play cricket
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: because i am passionate about sailing and exploring different place
Why do you wish to join TMI?: best placement provides opportunity for sports and extra activity nice food and infrastructure
What are your hobbies?: play tabla,cricket and gardening
What are your strengths?: determination, hard working
What are your weaknesses?: impatient
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

 

___________________

Date ________________

 
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