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.Sc. Nautical Science
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: DEEPANSHU TIWARI
Mother's Name: ANITA TIWARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Oct 2003 Nationality: INDIAN
Place of Birth: NASRULLAGAN Personal Identification Mark: NO MARKS
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 18 Oct 2003 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: H NO 16 WARD NO 02 VILLAGE NIPANIYA POST SATRANA TEH NASRULLGANJ DIST SEHORE
State: Madhya Pradesh Country: India
Pin: 466331 City/District: SEHORE
Mobile no: 7489144362 Telephone No. with STD code:
Aadhar Card No:316713577829 E-mail: deepanshut585@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: TUKARAM TIWARI Relationship with candidate: FATHER
Parents Date of Birth: 25 May 1973 Parent's/Guardian's Occupation/Designation: FARMAR
   
Office Address:
   
Address: h no 16 ward no 2 VILLAGE NIPANIYA POST SATRANA TEH NASRULLGANJ DIST SEHORE
Country: India State: Madhya Pradesh
City/District: sehore Pin: 466331
Tel: Mobile no.: 9754534711
Fax: Email: tiwaritukaram@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: RAI SAHEB BHANWAR SINGH PUB SCHOOL SEHORE MP School: RAI SAHEB BHANWAR SINGH PUB SCHOOL SEHORE MP
City: NASRULLGANJ City: NASRULLAGANJ
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: NASRULLGANJ DIST SEHORE MP
  Centre code:
  Pin: 466331
  Contact Nos: 8602234080
  Email: rsbpublic.school@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2019 kabaddi cbse cluster no
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: NO
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I want to become marine electrical technical engineer officer
Why do you wish to join TMI?: Because so many people told about tmi is good collage for marine studyAnd good knowlageble faculty also there thats why I choose tmI
What are your hobbies?: CRICKET KABADDI
What are your strengths?: PARENTS
What are your weaknesses?: I GET NERVOUS VERY QUICKLY
How do you intend to meet the expenses of this program?: Bank Loan
 
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 ________________

 
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