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: DEG2169717 Name: LAKSHAY GUPTA
  Address: F - 61, ARYA SAMAJ ROAD UTTAM NAGAR
Telephone No.: 9971119115 Mobile no: 9971119115
E-mail: vivek@icai.in  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13889261203
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169717 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: DEG2169717
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: LAKSHAY GUPTA
Mother's Name: RITU GUPTA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jun 2003 Nationality: INDIAN
Place of Birth: NEW DELHI Personal Identification Mark: MOLE ON BACK
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 16 Jun 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : LAKSHAY GUPTA Passport No.: U7257565
Date of Expiry: 14 Apr 2031 Place of Issue: NEW DELHI
(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: F - 61, ARYA SAMAJ ROAD UTTAM NAGAR
State: Delhi Country: India
Pin: 110059 City/District: NEW DELHI
Mobile no: 9971119115 Telephone No. with STD code: 9971119115
Aadhar Card No:628482656560 E-mail: vivek@icai.in
 
Guardian's Particulars:
 
Name of Parent/Guardian: VIVEK GUPTA Relationship with candidate: FATHER
Parents Date of Birth: 21 Sep 1975 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: The Institute of Chartered Accountants of India ICAI Bhawan, A - 29, Sector - 62 Noida
Country: India State: Uttar Pradesh
City/District: NOIDA Pin: 201309
Tel: 09971119115 Mobile no.: 9971119115
Fax: Email: vivek@icai.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: ADARSH PUBLIC SCHOOL School: ADARSH PUBLIC SCHOOL
City: NEW DELHI City: NEW DELH
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Address of School/College: ADARSH PUBLIC SCHOOL, C BLOCK, VIKAS PURI, NEW DELHI - 110018
  Centre code:
  Pin: 110018
  Contact Nos:
  Email: VIVEK@ICAI.IN
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 77 77
Chemistry 100 79 79
Mathematics 100 73 73
Physics, Chemistry & Mathematics combined Percentage: 76.33
English 100 84 84
   
IMU CET Application Number: CET21U1000601  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will prepare for the IMU CET examination and will work on my physical fitness.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As I am a sea lover and wanted to build my carrier with Sea Interface hence according to me its the best field which I am looking for.
Why do you wish to join TMI?: Since TMI is a very renowned institute for Marine Education and it was also suggested by certain Marine officers, hence I would also like to build my carrier with TMI
What are your hobbies?: Exploring the world, Art and Music
What are your strengths?: Physically Fit, Good Team Builder and Worker
What are your weaknesses?: Nothing
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
 
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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