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: DEG2176190 Name: Shushank kumar
  Address: S/O Beerpal singh D-228 , omicron 1, Gaur Atulyam
Telephone No.: Mobile no: 8882359152
E-mail: shushankkumar00@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: 428795501
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2176190 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: DEG2176190
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shushank kumar
Mother's Name: Kavita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Apr 2003 Nationality: India
Place of Birth: Bulandshahr Personal Identification Mark: Cut on nose and mole on cheeks
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 04 Apr 2003 Nationality: India
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: S/O Beerpal singh D-228 , omicron 1, Gaur Atulyam
State: Uttar Pradesh Country: India
Pin: 201310 City/District: Greater Noida
Mobile no: 8882359152 Telephone No. with STD code:
Aadhar Card No:525284532651 E-mail: shushankkumar00@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Beerpal singh Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1975 Parent's/Guardian's Occupation/Designation: Army person
   
Office Address:
   
Address: New Delhi DSC Directorate
Country: India State: Delhi
City/District: New Delhi Pin: 110066
Tel: Mobile no.: 8191058824
Fax: Email: bpsp824@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Sainik school ghorakhal Nainital School: St. Vivekananda school
City: Nainital City: Shikandrabadh
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Address of School/College: St. VivekanandInternational School, Heeracolony, Sikandrabad Distt. Bulandshahr
  Centre code:
  Pin: 203205
  Contact Nos:
  Email: stvivekanandins@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
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
06/2015 Football North zone inter Sainik school sports championship First
08/2016 Basketball All india IPSC Basketball Participation
10/2015 Brass Band All india IPSC Band competition Second Runners up
09/2017 Trekking NCC Participation
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: My plans will be playing basketball , 8 ball pool and travelling some mountain places with my family friends .
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I choose nautical science because from north less people persue this degree and I want to do something interesting and different from others and I want to explore the world so I got the best option of persuing nautical science and source of income is also good so that is can spend my livelihood in a good manner.
Why do you wish to join TMI?: It is one of the best college of india .
What are your hobbies?: Playing basketball
What are your strengths?: I m very active and very good in out door activities
What are your weaknesses?: I m working on my communication skills.
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

 

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Date ________________

 
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