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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2171548 Name: Aniket Saxena
  Address: 285,Vishal Khand-3 Gomti Nagar
Telephone No.: Mobile no: 9560352929
E-mail: saxenaadit@rediffmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 423382759
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2171548 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2171548
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aniket Saxena
Mother's Name: Simi Narendra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Dec 2002 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Mole on right forearm
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 30 Dec 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Aniket Saxena Passport No.: T2552725
Date of Expiry: 25 Jul 2029 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: 285,Vishal Khand-3 Gomti Nagar
State: Uttar Pradesh Country: India
Pin: 226010 City/District: Lucknow
Mobile no: 9560352929 Telephone No. with STD code:
Aadhar Card No: E-mail: saxenaadit@rediffmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Adit Saxena Relationship with candidate: Father
Parents Date of Birth: 17 Apr 1970 Parent's/Guardian's Occupation/Designation: Army Officer
   
Office Address:
   
Address: HQ MUPSA Lucknow Cantt
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226002
Tel: Mobile no.: 9953295180
Fax: Email: saxenaadit@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: The Millennium School School: The Millennium School
City: Lucknow City: Lucknow
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Address of School/College: F-Block Unitech South City
  Centre code:
  Pin: 226226
  Contact Nos:
  Email: info.lucknow@themillenniumschool.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 practice chess and learn driving.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is a subject that I have interest in and would love to learn more about it.
Why do you wish to join TMI?: It is premier and respected Institute of India and I would love to join.
What are your hobbies?: Playing chess, reading books and listening to music
What are your strengths?: Sincere, steadfast, disciplined, focused and hardworking.
What are your weaknesses?: Too cautious
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 ________________

 
Print Summary and Application Form