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: DEG2170830 Name: Deepak verma
  Address: 25/39 B BLOCK MIG KDA MARKET PANKI Kanpur
Telephone No.: Mobile no: 8756210530
E-mail: sv98399@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13695165805
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2170830 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: DEG2170830
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Deepak verma
Mother's Name: Neelam devi verma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Nov 2000 Nationality: India
Place of Birth: Kanpur Naga Personal Identification Mark: Mole on left hand
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 18 Nov 2000 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Deepak verma Passport No.: V0362513
Date of Expiry: 10 Jul 2030 Place of Issue: Lucknow
(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: 25/39 B BLOCK MIG KDA MARKET PANKI Kanpur
State: Uttar Pradesh Country: India
Pin: 208020 City/District: Kanpur Nagar
Mobile no: 8756210530 Telephone No. with STD code:
Aadhar Card No: E-mail: sv98399@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shobhnath verma Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1996 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 25/39 B BLOCK MIG KDA MARKET PANKI Kanpur
Country: India State: Uttar Pradesh
City/District: Kanpur Nagar Pin: 208020
Tel: Mobile no.: 8756210530
Fax: Email: dn98399@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Dr.virendra swarup education center School: Dr.virendra swarup education center
City: Kanpur City: panki kanpur
English %: 79 Board Roll No./Seat No.: 23661670
Aggregate Percentage: 85 School/College Code: 70755
  Address of School/College: 884 b-block m.i.g panki kanpur
  Centre code: 7166
  Pin: 208020
  Contact Nos:
  Email: vsecpanki@rediffmail.com
  Aggregate Percentage: 85
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 67 67
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 75
English 100 91 91
   
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
12/2014 800 mt race School 1st
12/2014 Shot put School 1st
12/2014 Long jump School 3rd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for merchant navy
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because of my passion towards the career and my hobbies of exploring the world
Why do you wish to join TMI?: Because of its good facilities, facility, placement
What are your hobbies?: Reading, traveling ,music, sports
What are your strengths?: Complete my work on time ,hard and smart working,
What are your weaknesses?: Incomplete work makes me uncomfortable
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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