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.Sc. Nautical Science
Dossier ID: DEG2175908 Name: Lakshay kumar Jaelwal
  Address: C-1/5,second floor, janakpuri, new delhi C-1/5,second floor, janakpuri, new delhi
Telephone No.: 09910810022 Mobile no: 9910810022
E-mail: lakshayjaelwal13@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: 440761605
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2175908 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.Sc. Nautical Science
Dossier ID: DEG2175908
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Lakshay kumar Jaelwal
Mother's Name: Monika jaelwal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Aug 2003 Nationality: Indian
Place of Birth: New Delhi Personal Identification Mark: scar on left eyebrow
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 18 Aug 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: C-1/5,second floor, janakpuri, new delhi C-1/5,second floor, janakpuri, new delhi
State: Delhi Country: India
Pin: 110058 City/District: New Delhi
Mobile no: 9910810022 Telephone No. with STD code: 09910810022
Aadhar Card No:5696 5580 2026 E-mail: lakshayjaelwal13@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Gulshan Kumar Relationship with candidate: Father
Parents Date of Birth: 04 Feb 1973 Parent's/Guardian's Occupation/Designation: Project Manager
   
Office Address:
   
Address: A-59,Gokulpur, shahadra A-59,Gokulpur, shahadra
Country: India State: Delhi
City/District: New Delhi Pin: 110058
Tel: 09810810022 Mobile no.: 9810810022
Fax: Email: gkjaelwal@yahoo.co.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Mira Model School School: Mira Model School
City: New Delhi City: New Delhi
English %: 84 Board Roll No./Seat No.: 26632418
Aggregate Percentage: 86 School/College Code: 85299
  Address of School/College: B-1 block,janakpuri New delhi-58
  Centre code:
  Pin: 110058
  Contact Nos:
  Email: miramodelschool@gmail.com
  Aggregate Percentage: 93
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 92 92
Chemistry 100 92 92
Mathematics 100 93 93
Physics, Chemistry & Mathematics combined Percentage: 92.33
English 100 92 92
   
IMU CET Application Number: CET21U1008443  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2016 volleyball Nationals 4th
02/2018 volleyball Nationals 16th
12/2017 volleyball state 3rd
09/2018 volleyball state 8th
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: after completion of my 12th class i would like to join gym for my fitness, doing house chores and preparing myself for further entrance exams.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i think degree in Nautical science would be a good option for me because i have more interest in navigating ships rather than controlling all the machinery work.
Why do you wish to join TMI?: I wish to join tolani because it is the best institute in India for Bsc Nautical science with maximum training faculties, knowledge and placement records. Getting admission in this institute is a half success for every student.
What are your hobbies?: playing volleyball,cricket and i have keen interest in gaining knowlegde on science from youtube
What are your strengths?: I am a quick learner and ready to take challenges, I like interacting with people and hungry to gain knowledge.I also have good listening skills.
What are your weaknesses?: Wanting everything to be perfect is something which put me in jeopardy. I have tendency to overfriendly to people which sometimes looks really akward and i am trying to overcome this very soon.
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 not uploaded 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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