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: DEG2176004 Name: TUSHAR AGRAHARI
  Address: MAIN ROAD SHAHGANJ, JAUNPUR UP MAIN ROAD SHAHGANJ,JAUNPUR UP MAIN ROAD SHAHGANJ, JAUNPUR UP
Telephone No.: 7905912392 Mobile no: 7905912392
E-mail: tusharagrahari271@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: 430139006
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2176004 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.Tech. Marine Engineering
Dossier ID: DEG2176004
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: TUSHAR AGRAHARI
Mother's Name: SUNITA AGRAHARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jan 2002 Nationality: INDIAN
Place of Birth: SHAHGANJ Personal Identification Mark: CUT MARK ON THE ARM
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 31 Jan 2002 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : TUSHAR 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: MAIN ROAD SHAHGANJ, JAUNPUR UP MAIN ROAD SHAHGANJ,JAUNPUR UP MAIN ROAD SHAHGANJ, JAUNPUR UP
State: Uttar Pradesh Country: India
Pin: 223101 City/District: JAUNPUR
Mobile no: 7905912392 Telephone No. with STD code: 7905912392
Aadhar Card No:863859734438 E-mail: tusharagrahari271@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AJAY KUMAR AGRAHARI Relationship with candidate: FATHER
Parents Date of Birth: 02 Nov 1974 Parent's/Guardian's Occupation/Designation: BUSINESSMAN
   
Office Address:
   
Address: MAIN ROAD HUSAINGANJ SHAHGANJ,JAUNPUR MAIN ROAD HUSAINGANJ SHAHGANJ,JAUNPUR
Country: India State: Uttar Pradesh
City/District: JAUNPUR Pin: 223101
Tel: Mobile no.: 8858453388
Fax: Email: tusharagrahari271@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: 55393-RADHIKA INTERNATIONAL SCH VISHNUPUR JAUNPUR UP School: 70657 SHIVBRAT SINGH CHILDREN ACADEMY ARGUPUR JAUNPUR
City: JAUNPUR City: JAUNPUR
English %: 056 Board Roll No./Seat No.: 23647455
Aggregate Percentage: 46 School/College Code: 70657
  Address of School/College: MAIN ROAD HUSAINGANJ SHAHGANJ,JAUNPUR MAIN ROAD HUSAINGANJ SHAHGANJ,JAUNPUR
  Centre code: 7132
  Pin: 228101
  Contact Nos: 08858453388
  Email: tusharagrahari271@gmail.com
  Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 64 64
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 65.33
English 100 52 52
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I engage my self in self learning and self development
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I want to be a marine engineer in near future this institute help me to achieve my goal
Why do you wish to join TMI?: for become marine engineer
What are your hobbies?: playing cricket
What are your strengths?: fast learner
What are your weaknesses?: less talkative
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded 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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