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: DEG2173351 Name: YASH SRIVASTAVA
  Address: B-6/304 ARAVALI ENCLAVE SECTOR 12 VRINDAVAN YOJNA LUCKNOW UTTARPRADESH INDIA
Telephone No.: Mobile no: 9456113211
E-mail: yash.dec2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 439735773
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2173351 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: DEG2173351
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: YASH SRIVASTAVA
Mother's Name: RANJANA SRIVASTAVA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Dec 2003 Nationality: INDIAN
Place of Birth: GORAKHPUR I Personal Identification Mark: BIRTH MARK
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 02 Dec 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: B-6/304 ARAVALI ENCLAVE SECTOR 12 VRINDAVAN YOJNA LUCKNOW UTTARPRADESH INDIA
State: Uttar Pradesh Country: India
Pin: 226029 City/District: Lucknow
Mobile no: 9456113211 Telephone No. with STD code:
Aadhar Card No: E-mail: yash.dec2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vishal Srivastava Relationship with candidate: Father
Parents Date of Birth: 02 Aug 1972 Parent's/Guardian's Occupation/Designation: DISTRICT GENERAL MANAGER
   
Office Address:
   
Address: BSNL OFFICE Faizabad
Country: India State: Uttar Pradesh
City/District: Faizabad Pin: 224001
Tel: Mobile no.: 9412066687
Fax: Email: vishaltransrbl@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Doon International School School: SAIGRACE ACADEMY
City: Dehradun City: Dehradun
English %: 91 Board Roll No./Seat No.: 25605424
Aggregate Percentage: 89 School/College Code: 81372
  Address of School/College: Raipur road near MAHARANA PRATAP CHOWK
  Centre code: 8029
  Pin: 248001
  Contact Nos:
  Email: admissionsaigrace@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 63 63
Chemistry 100 65 65
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 62.67
English 100 87 87
   
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
11/2019 Race School level 3rd
05/2021 Badminton District level Runners up
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Focusing on hobbies, my aim and spending time with family.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It gives better jobs and also a friendly workspace for all.
Why do you wish to join TMI?: It is one of the leading collages in terms of giving a good education and jobs in merchant navy. Also with a sophisticated training it brings out a better person from students.
What are your hobbies?: 1. Cooking 2. Badminton 3. Cycling 4. Travelling
What are your strengths?: 1.I am determined to my aim. 2. Always friendly with others. 3. Use to motivate anyone from my group. 4. Willing to give my best in every field. 5. Always tends to show positive attitude towards others.
What are your weaknesses?: 1. Have lethargic approach towards matters which are out of my court. 2. Sometimes have a kiddish nature.
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 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

 

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Date ________________

 
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