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: DEG2175252
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Modi Harshil kaushikkumar
Mother's Name: Asmitaben kaushikkumar modi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 May 2004 Nationality: Gujrat
Place of Birth: bharuch Personal Identification Mark: no
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 25 May 2004 Nationality: Gujrat
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Modi Harshil kaushikkumar Passport No.: U3449111
Date of Expiry: 24 May 2022 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: 2865,Ayodhya Nagar,Link Roard,Bharuch,gujrat 2865,Ayodhya Nagar,Link Roard,Bharuch,gujrat 2865,Ayodhya Nagar,Link Roard,Bharuch,gujrat
State: Gujarat Country: India
Pin: 392001 City/District: Bharuch
Mobile no: 9998843672 Telephone No. with STD code: -
Aadhar Card No:251298145951 E-mail: harshilmodi979@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kaushikkumar k Modi Relationship with candidate: father
Parents Date of Birth: 11 Jan 1971 Parent's/Guardian's Occupation/Designation: government job
   
Office Address:
   
Address: Bharuch Nagar Seva Sadan Javahar munisipal Bhavan,civil Hospital Roard,Bharuch Bharuch Nagar Seva Sadan Javahar munisipal Bhavan,civil Hospital Roard,Bharuch Bharuch Nagar Seva Sadan Javahar munisipal Bhavan,civil Hospital Roard,Bharuch
Country: India State: Gujarat
City/District: Bharuch Pin: 392001
Tel: 02642220143 Mobile no.: 9879230662
Fax: 02642220143 Email: modikaushik2865@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Gujarat Board: Gujarat
School: Narayan vidh School: Narayan Vidhyalaya
City: Bharuch City: Bharuch
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Address of School/College: Laxmi Narayan Nagar,B/H Trimurti hall, Sakhtinath area Bharuch 392001
  Centre code:
  Pin: 392001
  Contact Nos: 02642263012
  Email: narayan_bharuch@yahoo.co.in
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150
Chemistry 150
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: do workout, listening song etc...
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i know it and i also interested so marine engeneering good for me ..
Why do you wish to join TMI?: i know about this collage
What are your hobbies?: playing cricket,listen song watching webseries
What are your strengths?: creativity,focused,taking lnitiative ,honesty, self control,
What are your weaknesses?: insecure, bad handwriting, fast believe
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 ________________