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.Sc. Nautical Science
Dossier ID: DEG2171593 Name: Dhruva katiyar
  Address: Yusufpur bhagwan makrand nagar kannauj near state bank Pooransham appt juhi kalan barra 2 kanpur ,near KR palace
Telephone No.: Mobile no: 7459042454
E-mail: dhruvkatiyar2512@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: 13950528117
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2171593 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2171593
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dhruva katiyar
Mother's Name: Sushma katiyar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Dec 2002 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: Black spot on chest
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 25 Dec 2002 Nationality: Indian
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: Yusufpur bhagwan makrand nagar kannauj near state bank Pooransham appt juhi kalan barra 2 kanpur ,near KR palace
State: Uttar Pradesh Country: India
Pin: 209729 City/District: Kannauj
Mobile no: 7459042454 Telephone No. with STD code:
Aadhar Card No:901609163167 E-mail: dhruvkatiyar2512@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mr pradeep kumar katiyar Relationship with candidate: Father
Parents Date of Birth: 10 Apr 1968 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Yusufpur bhagwan makrand nagar kannauj near state bank PooranDham appt juhi kalan barra 2 kanpur ,near KR palace
Country: India State: Uttar Pradesh
City/District: Kannauj Pin: 209729
Tel: Mobile no.: 9140914282
Fax: Email: dhruvkatiyar2512@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Puranchandra vidhyaniketan School: Puranchandra vidhyaniketan
City: Kanpur City: Kannauj
English %: 80 Board Roll No./Seat No.: 23657248
Aggregate Percentage: 70 School/College Code: 70738
  Address of School/College: Yusufpur bhagwan makrand nagar kannauj near state bank ,makrand nagar
  Centre code: 7156
  Pin: 209729
  Contact Nos: 07459042454
  Email: dhruvkatiyar2512@gmail.com
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 67 67
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 73.67
English 100 80 80
   
IMU CET Application Number: CET21U1009957  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
09/2019 FOOTBALL GOOD BACKWARD
05/2020 FOOTBALL GOOD BACKWARD
11/2017 DRAMA OK FOURTH POSITION
12/2018 ART EXCELLENT WINNER
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: novels , movies , searching about different places as I love travelling and studying , sometimes playing football and physical excercise
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: as my brother is in merchant navy and had done engineering from tolani marine institute, he used to tell me about how the ship works and how big it is , which got me interested my quatities are- good english good in sports love to travel hard working obey orders respect others discussion skills i am fast i am ready to take lots of responsibility at early age
Why do you wish to join TMI?: An exciting and Adventurous profession financial independence excellent salary structure loves to travel white uniform and my brother is also gratuated from TMI and he referred me tmi ,he got placed in TK he got excellent future ahead of himself, TMI has excellent placement record big companies such as TK , scorpio , Maersk come for placement i trust TMI
What are your hobbies?: FOOTBALL, NOVELS , ELECTRONICS , GAMING , TRAVELLING, MECHANICAL WORK
What are your strengths?: creativity, trustworthiness, fast learner , friendly, discipline, patience, dedication , honesty
What are your weaknesses?: nervous , i have trouble in saying NO
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
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

 

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Date ________________

 
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