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.Sc. Nautical Science
Dossier ID: DEG2169940 Name: Monish Gupta
  Address: 30, Sanjay Nagar Opposite railway station Alwar
Telephone No.: 01444901506 Mobile no: 9928125780
E-mail: monish.mg03@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 440074727
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169940 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.Sc. Nautical Science
Dossier ID: DEG2169940
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Monish Gupta
Mother's Name: Saroj Gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Nov 2003 Nationality: Indian
Place of Birth: Alwar Personal Identification Mark: Mole on face
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 18 Nov 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Monish Gupta Passport No.: U9576127
Date of Expiry: 10 Mar 2021 Place of Issue: Alwar
(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: 30, Sanjay Nagar Opposite railway station Alwar
State: Rajasthan Country: India
Pin: 301001 City/District: Alwar
Mobile no: 9928125780 Telephone No. with STD code: 01444901506
Aadhar Card No:796969069831 E-mail: monish.mg03@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Brijendra Ameria Relationship with candidate: Father of candidate
Parents Date of Birth: 24 Nov 1974 Parent's/Guardian's Occupation/Designation: Admin Assistant
   
Office Address:
   
Address: 241 D21 Corporate park sector 21, Dwarka
Country: India State: Delhi
City/District: Dwarka Pin: 110075
Tel: 01444901506 Mobile no.: 9928150762
Fax: Email: ameria.bk@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Alwar Public School School: Alwar public School
City: Alwar City: Alwar
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: 6th km stone Rajgarh Road
  Centre code:
  Pin: 301001
  Contact Nos:
  Email: eicheraps@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
09/2016 Basketball District Ist
08/2016 Basketball State 5th
09/2019 Basketball District 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I want to join Lawn Tennis classes and to learn to play guitar
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is best for me
Why do you wish to join TMI?: it is one of the best colleges in India
What are your hobbies?: playing basketball
What are your strengths?: Determined and punctual
What are your weaknesses?: Taking too much responsibilities at once
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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