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: DEG2172133 Name: Shibham Kumar Singh
  Address: Q No.- 84, East Plant Area Burmamines, Jamshedpur Jharkhand, 831007
Telephone No.: 0657 2270410 Mobile no: 7808419611
E-mail: shivamsingh45at@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 429898162
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2172133 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: DEG2172133
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shibham Kumar Singh
Mother's Name: Soni Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Mar 2002 Nationality: Indian
Place of Birth: Jamshedpur Personal Identification Mark: Cut Mark On Forehead
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 25 Mar 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: Q No.- 84, East Plant Area Burmamines, Jamshedpur Jharkhand, 831007
State: Jharkhand Country: India
Pin: 831007 City/District: Jamshedpur
Mobile no: 7808419611 Telephone No. with STD code: 0657 2270410
Aadhar Card No:429367249107 E-mail: shivamsingh45at@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajeev Singh Relationship with candidate: Father
Parents Date of Birth: 02 Sep 1979 Parent's/Guardian's Occupation/Designation: Buissnessman
   
Office Address:
   
Address: Q No.- 84, East Plant Area Burmamines, Jamshedpur Jharkhand, 831007
Country: India State: Jharkhand
City/District: Jamshedpur Pin: 831007
Tel: 06572270410 Mobile no.: 9431348290
Fax: Email: rajusinghmunna7@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: ISCE
School: Motilal Nehru Public School School: Motilal Nehru Public School
City: Jamshedpur City: Jamshedpur
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Address of School/College: Pipe Line Road, Northern Town, Jamshedpur.
  Centre code:
  Pin: 831001
  Contact Nos: 06572433057
  Email: mnpsmnps102@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: 997218  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2015 Shot Put School Level 2nd
11/2012 Spell Bee Competition School Level 1st
11/2011 Maggi Quiz School Level 4th
08/2015 Bournvita Quiz City Level 4th
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will do research about Marine Life, I will work on my weaknesses.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have an interest in Marine Life, There is a lot of scope in Marine Engineering.
Why do you wish to join TMI?: I have to do marine engineering and TMI is the best institute for this course.
What are your hobbies?: Playing Volleyball, Playing Basketball.
What are your strengths?: Communication Skills, Analytical Skills
What are your weaknesses?: Taking too many risks, Being too honest
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

 

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Date ________________

 
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