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.Sc. Nautical Science
Dossier ID: DEG2169916 Name: MILLI AGARWAL
  Address: 15, MEGH VIHAR BYE PASS ROAD SIKANDRA
Telephone No.: 9548601205 Mobile no: 9548601205
E-mail: milliagarwal15@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 431156291
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169916 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.Sc. Nautical Science
Dossier ID: DEG2169916
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MILLI AGARWAL
Mother's Name: ANITA AGARWAL
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Mar 2003 Nationality: INDIAN
Place of Birth: AGRA Personal Identification Mark: MOLE ON RIGHT COLLAR BONE
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 17 Mar 2003 Nationality: INDIAN
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : MILLI AGARWAL Passport No.: V0729199
Date of Expiry: 29 Apr 2031 Place of Issue: GHAZIABAD
(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: 15, MEGH VIHAR BYE PASS ROAD SIKANDRA
State: Uttar Pradesh Country: India
Pin: 282007 City/District: AGRA
Mobile no: 9548601205 Telephone No. with STD code: 9548601205
Aadhar Card No:721883341622 E-mail: milliagarwal15@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJENDRA PRASAD AGARWAL Relationship with candidate: FATHER
Parents Date of Birth: 02 Apr 1968 Parent's/Guardian's Occupation/Designation: DEFENCE CIVILIAN ELECT. POWER
   
Office Address:
   
Address: DET BASE ,WORKSHOP GROUP, QUALITY C/O COD ,AGRA
Country: India State: Uttar Pradesh
City/District: AGRA Pin: 282009
Tel: Mobile no.: 9412815408
Fax: Email: rp2521994@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: ST. CONRADS INTER COLLEGE School: ST. CONRADS INTER COLLEGE
City: AGRA City: AGRA
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 97 School/College Code:
  Address of School/College: OPPOSITE TRANSPORT NAGAR ,SIKANDRA P.O. AGRA -282007
  Centre code:
  Pin: 282007
  Contact Nos: 7060416370
  Email: conradsagra@yahoo.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
02/2016 DRAWING STATE LEVEL PARTICIPATION
10/2019 DRAWING DISTRICT LEVEL FIRST
05/2019 CREATIVE WRITING SCHOOL LEVEL FIRST
10/2019 MATHS EXHIBITION SCHOOL LEVEL FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would be learning more about pencil sketching ,art and craft. I would spend time reading books apart from my course books . Also I plan to join online dance classes.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I dream to become a captain on ship and by searching online found that Nautical Science course would help me fulfill my dream.
Why do you wish to join TMI?: Through the information gathered online and interacting with your students I came to know that Tolani Maritime Institute ,provides the best course and training to the students who are as passionate for the subject as I am. Moreover the placements it provides are remarkable . TMI would provide me the perfect environment to become a merchant navy officer.
What are your hobbies?: Sketching, dancing , reading .
What are your strengths?: I do my work with firm determination and concentration. I am always ready to accept challenges and do not get discouraged by failures easily.
What are your weaknesses?: My inability to share responsibilities .To overcome this I have been participating more often in group tasks in school as well as home.I am learning to let go and trust others.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport 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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