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: DEG2169770 Name: harshvardhan
  Address: 106,trivani appt. jhilmil colony,vivek vihar New Delhi
Telephone No.: Mobile no: 7428920206
E-mail: harshvardhana.hv@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169770 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: DEG2169770
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: harshvardhan
Mother's Name: Neelam devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 May 2004 Nationality: Indian
Place of Birth: bihar Personal Identification Mark: no
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 19 May 2004 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: 106,trivani appt. jhilmil colony,vivek vihar New Delhi
State: Delhi Country: India
Pin: 110095 City/District: shardhra
Mobile no: 7428920206 Telephone No. with STD code:
Aadhar Card No:570289109049 E-mail: harshvardhana.hv@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manoj kumar verma Relationship with candidate: father
Parents Date of Birth: 05 Feb 1972 Parent's/Guardian's Occupation/Designation: business
   
Office Address:
   
Address: surajmal market,vivek vihar delhi,new delhi
Country: India State: Delhi
City/District: shardhra Pin: 110095
Tel: Mobile no.: 7488808796
Fax: Email: harshvardhana.hv@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: New oxford public sec. school School: vivekanand public school
City: delhi City: delhi
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 62 School/College Code:
  Address of School/College: B- block,anand vihar,new delhi
  Centre code:
  Pin: 110092
  Contact Nos:
  Email: vivekanandschool2008@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i will spend my time after completing 12th by making weak things strong.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical science is good option for me because i want be an deck officer.
Why do you wish to join TMI?: i want to join TMI because it is well known for its faculties and the provide better placements.
What are your hobbies?: my hobbies are to play football and modeling.
What are your strengths?: my family and my teacher.
What are your weaknesses?: my emotions.
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 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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