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.Tech. Marine Engineering
Dossier ID: DEG2174066 Name: Harsh Ramesh bhai Chauhan
  Address: Apollo Hospitals 1, Tulsibaug Society, Opp Doctor House, Nr Parimal Garden, Ahmedabad Apollo Hospitals 1, Tulsibaug Society, Opp Doctor House, Nr Parimal Garden, Ahmedabad Apollo Hospitals 1, Tulsibaug Society, Opp Doctor House, Nr Parimal Garden, Ahmedabad
Telephone No.: 9427224175 Mobile no: 9427224175
E-mail: chauhanharsh2711@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2174066 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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.Tech. Marine Engineering
Dossier ID: DEG2174066
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Harsh Ramesh bhai Chauhan
Mother's Name: Pramila ben
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Nov 2003 Nationality: India
Place of Birth: Ahmedabad Personal Identification Mark: mhgcjhdf
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 27 Nov 2003 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Chauhan Harsh Passport No.: 95658545
Date of Expiry: 26 May 2023 Place of Issue: Ahmedabad
(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: Apollo Hospitals 1, Tulsibaug Society, Opp Doctor House, Nr Parimal Garden, Ahmedabad Apollo Hospitals 1, Tulsibaug Society, Opp Doctor House, Nr Parimal Garden, Ahmedabad Apollo Hospitals 1, Tulsibaug Society, Opp Doctor House, Nr Parimal Garden, Ahmedabad
State: Gujarat Country: India
Pin: 380006 City/District: Ahmedabad
Mobile no: 9427224175 Telephone No. with STD code: 9427224175
Aadhar Card No:159865483598 E-mail: chauhanharsh2711@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ramesh bhai Relationship with candidate: Father
Parents Date of Birth: 21 Apr 1983 Parent's/Guardian's Occupation/Designation: gnfxcmg
   
Office Address:
   
Address: Apollo Hospitals 1, Tulsibaug Society, Opp Doctor House, Nr Parimal Garden, Ahmedabad Apollo Hospitals 1, Tulsibaug Society, Opp Doctor House, Nr Parimal Garden, Ahmedabad Apollo Hospitals 1, Tulsibaug Society, Opp Doctor House, Nr Parimal Garden, Ahmedabad
Country: India State: Gujarat
City/District: Ahmedabad Pin: 380006
Tel: 9568475968 Mobile no.: 9548658753
Fax: 6564354 Email: chauhanharsh2711@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019 (Appearing for improvement)
Board: Gujarat Board: Gujarat
School: Ahmedabad International School School: Ahmedabad International School
City: Ahmedabad City: Ahmedabad
English %: 74 Board Roll No./Seat No.: 1354354566
Aggregate Percentage: 78 School/College Code: 380006
  Address of School/College: Ahemdabad
  Centre code: 380006
  Pin: 380006
  Contact Nos: 9427224175
  Email: chauhanharsh2711@gmail.com
  Aggregate Percentage: 77
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 99 66
Chemistry 150 110 73.33
Mathematics 100 94 94
Physics, Chemistry & Mathematics combined Percentage: 77.78
English 100 89 89
   
IMU CET Application Number: 1354443543543513  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: hjdghjegfkjagbfh
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: gjhvsakjfhsajgslzjkb
Why do you wish to join TMI?: lshjfsdhgsd,fjb
What are your hobbies?: jkbfvsbgvsdjb
What are your strengths?: bdjvhkjhsgkdb
What are your weaknesses?: hjkjhfkghvnb
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

 

___________________

Date ________________

 
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