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: DEG2170006 Name: Arpit Srivastava
  Address: N 8/200 B2 Maa Bhagirathi Nagar Sunderpur Varanasi Opposite Lifeline Hospital
Telephone No.: 0542 Mobile no: 8052191085
E-mail: sriarpit1210@gmail.com  
   
Application fee payment details:  
Payment Status: Offline 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 DEG2170006 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: DEG2170006
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Arpit Srivastava
Mother's Name: Ritu Srivastava
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Oct 2003 Nationality: Indian
Place of Birth: Varanasi Personal Identification Mark: Whitespot in left thigh
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 12 Oct 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: N 8/200 B2 Maa Bhagirathi Nagar Sunderpur Varanasi Opposite Lifeline Hospital
State: Uttar Pradesh Country: India
Pin: 221005 City/District: Varanasi
Mobile no: 8052191085 Telephone No. with STD code: 0542
Aadhar Card No:923242764303 E-mail: sriarpit1210@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Neeraj Srivastava Relationship with candidate: Father
Parents Date of Birth: 01 Mar 1973 Parent's/Guardian's Occupation/Designation: Accountant
   
Office Address:
   
Address: A4/2, SOUTH SIDE OF GT ROAD U.P.S.I.D.C. INDUSTRIAL AREA
Country: India State: Uttar Pradesh
City/District: GHAZIABAD Pin: 201001
Tel: Mobile no.: 9311502907
Fax: Email: neerajsupl@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Little Flower House School: Little Flower House
City: Varanasi City: Varanasi
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: Kakarmatta Road Opp. Manduadih Station
  Centre code:
  Pin: 221005
  Contact Nos: 05422300916
  Email: lfhkakarmatta@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
02/2020 Science Exhibhition Inter School First
08/2019 Robotics Inter School Second
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will work on my body fitness and make myself strong
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I always wanted a job which makes me a responsible man and gives me oppurtunities to explore world
Why do you wish to join TMI?: By attending seminars I have realised that tolani has been great so far
What are your hobbies?: Listening Music
What are your strengths?: Iam very Calm and Less emotional
What are your weaknesses?: I tend to complete a group project by my own
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

 

___________________

Date ________________

 
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