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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VAIBHAV SRIVASTAVA
Mother's Name: ANJU SRIVASTAVA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Oct 2002 Nationality: INDIAN
Place of Birth: LUCKNOW Personal Identification Mark: NONE
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 26 Oct 2002 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : VAIBHAV SRIVASTAVA Passport No.:
Date of Expiry: 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: 11/853 SECTOR-11 ,INDIRA NAGAR
State: Uttar Pradesh Country: India
Pin: 226016 City/District: LUCKNOW
Mobile no: 9559503050 Telephone No. with STD code:
Aadhar Card No:994875883792 E-mail: srivastavavaibhav2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRAMOD KUMAR SRIVASTAVA Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1971 Parent's/Guardian's Occupation/Designation: PG
   
Office Address:
   
Address: 11/853, SECTOR-11 INDIRA NAGAR
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226016
Tel: Mobile no.: 9559503050
Fax: Email: srivastavavaibhav2002@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: NIOS Board: NIOS
School: ALIGANJ MOTESSORI SCHOOL School: ALIGANJ MPOTESSORI SCHOOL
City: LUCKNOW City: LUCKNOW
English %: 67 Board Roll No./Seat No.: 210273193039
Aggregate Percentage: 67 School/College Code: 226024
  Address of School/College: SECTOR-L ALIGANJ, NEAR K.V LUCKNOW
  Centre code: 210273
  Pin: 226016
  Contact Nos: 9559503050
  Email: srivastavavaibhav2002@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 069 69
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 65.67
English 100 61 61
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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 ________________

 
Print Summary and Application Form