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: DEG2170148 Name: harsh verma
  Address: L block shastri nagar meerut
Telephone No.: 7310556808 Mobile no: 7310556808
E-mail: harshvermaji12345@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: 436112038
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2170148 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: DEG2170148
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: harsh verma
Mother's Name: Shilpi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Mar 2003 Nationality: India
Place of Birth: Meerut Personal Identification Mark: Right leg
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 25 Mar 2003 Nationality: India
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: L block shastri nagar meerut
State: Uttar Pradesh Country: India
Pin: 250004 City/District: Meerut
Mobile no: 7310556808 Telephone No. with STD code: 7310556808
Aadhar Card No: E-mail: harshvermaji12345@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ashok verma Relationship with candidate: father
Parents Date of Birth: 15 Feb 1977 Parent's/Guardian's Occupation/Designation: businessman
   
Office Address:
   
Address: kharkhauda meerut
Country: India State: Uttar Pradesh
City/District: Meerut Pin: 250004
Tel: 9897556800 Mobile no.: 9897556808
Fax: Email: harshvermaji12345@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: dav public school School: DAV public school
City: Meerut City: meerut
English %: 80 Board Roll No./Seat No.: 21700396
Aggregate Percentage: 75 School/College Code: 60081
  Address of School/College: l block, meerut
  Centre code: 60081
  Pin: 250004
  Contact Nos:
  Email: harshverma415@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 79 79
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 73.67
English 100 81 81
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: spending time with family
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I loved nautical science
Why do you wish to join TMI?: It is my dream to be a captain
What are your hobbies?: playing guitar
What are your strengths?: I am discipline, enthusiastic and have leadership quality.
What are your weaknesses?: stress
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

 

___________________

Date ________________

 
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