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: DEG2170632 Name: Shubham Srivastava
  Address: S/O- Priyaranjan Kumar Srivastava Pachrukhi Siwan
Telephone No.: Mobile no: 6200914147
E-mail: shubhamsrivastava5820@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 421965312
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2170632 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: DEG2170632
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shubham Srivastava
Mother's Name: Rinki Srivastava
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jan 2004 Nationality: Indian
Place of Birth: Pachrukhi Personal Identification Mark: Mole on Right Hand
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 08 Jan 2004 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : SHUBHAM SRIVASTAVA Passport No.: R9964629
Date of Expiry: 07 Jan 2022 Place of Issue: PATNA
(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: S/O- Priyaranjan Kumar Srivastava Pachrukhi Siwan
State: Bihar Country: India
Pin: 841241 City/District: Siwan
Mobile no: 6200914147 Telephone No. with STD code:
Aadhar Card No:953540165008 E-mail: shubhamsrivastava5820@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Priyaranjan Kumar Srivastava Relationship with candidate: Father
Parents Date of Birth: 27 Apr 1969 Parent's/Guardian's Occupation/Designation: Official Clerk
   
Office Address:
   
Address: Pachrukhi SIwan
Country: India State: Bihar
City/District: Siwan Pin: 841241
Tel: Mobile no.: 9934657077
Fax: Email: timeisnow5820@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: U S C D DAV PUBLIC SCHL School: Central Public School
City: Siwan City: Chhapra
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Vikas Nagar, Chandmari Road
  Centre code:
  Pin: 841302
  Contact Nos:
  Email: cpschapra@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 start preparing for TMISAT and IMUCET.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I will get the satisfaction of seeing new systems or whole new ships coming to life as a product of our work. As the world of marine technology continues to innovate and improve. I will always be faced with new challenges and opportunities to learn so you can always be growing and improving.
Why do you wish to join TMI?: I find myself a suitable candidate for this field as I am not much social and having lived away from my home since many years, I have developed the quality of adaptation which is a key requirement for this field.
What are your hobbies?: Cricket
What are your strengths?: I am a hard worker.
What are your weaknesses?: I focus too much on the details.
How do you intend to meet the expenses of this program?: Own Resources,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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