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: DEG2171801 Name: HRITESH PACHAURI
  Address: 20 SHANTI KUNJ WEST ARJUN NAGAR KHERIA MODE
Telephone No.: 7037793707 Mobile no: 7037793707
E-mail: hriteshpachauri@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 424021934
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2171801 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: DEG2171801
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HRITESH PACHAURI
Mother's Name: TARA KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Aug 2002 Nationality: INDIAN
Place of Birth: AGRA Personal Identification Mark: MOLE ON LEFT SIDE OF FACE
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 23 Aug 2002 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : HRITESH PACHAURI Passport No.: U7634688
Date of Expiry: 01 Nov 2030 Place of Issue: GHAZIABAD
(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: 20 SHANTI KUNJ WEST ARJUN NAGAR KHERIA MODE
State: Uttar Pradesh Country: India
Pin: 282001 City/District: AGRA
Mobile no: 7037793707 Telephone No. with STD code: 7037793707
Aadhar Card No:375274769447 E-mail: hriteshpachauri@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: KRISHAN KUMAR PACHAURI Relationship with candidate: FATHER
Parents Date of Birth: 12 Jul 1973 Parent's/Guardian's Occupation/Designation: LAW PRACTISE
   
Office Address:
   
Address: 20 SHANTI KUNJ WEST ARJUN NAGAR KHERIA MODE AGRA
Country: India State: Uttar Pradesh
City/District: AGRA Pin: 282001
Tel: 09410406649 Mobile no.: 8077526104
Fax: Email: kkumarp007@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: KENDRIYA VIDYALAYA NO1 AFS School: KENDRIYA VIDYALAYA NO1 AFS
City: AGRA City: AGRA
English %: 78 Board Roll No./Seat No.: 21600344
Aggregate Percentage: 66 School/College Code: 64001
  Address of School/College: KENDRIYA VIDYALAYA NO1 AFS AGRA U.P.
  Centre code: 6001
  Pin: 282001
  Contact Nos:
  Email: kv1afsagra@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 81 81
Chemistry 100 73 73
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 76.33
English 100 81 81
   
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
04/2016 RELAY RACE SCHOOL LEVEL SECOND
04/2017 100 METRE RACE SCHOOL LEVEL THIRD
12/2018 400 METRE RACE DISTRICT LEVEL SECOND
06/2018 WORLD DAY AGAINST CHILD LABOUR DISTRICT LEVEL PARTICIPATED
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After 12th I started my preparations for JEE MAINS 2021 and with playing INDOOR GAMES .
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES . It will be best for me .
Why do you wish to join TMI?: Because TMI is one of the best and precious institute of our country from academics to other activities it can give me a Bright career ,
What are your hobbies?: to participate in different sports .
What are your strengths?: Enthusiastic towards my goal with discipline and dedication .
What are your weaknesses?: public speaking
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card 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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