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.Tech. Marine Engineering
Dossier ID: DEG2177080 Name: Ayush Bhatnagar
  Address: 57 New Lal Bagh Colony Opp. polo Ground
Telephone No.: Mobile no: 9876275848
E-mail: shally.bhatnagar57@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: 427769311
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2177080 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.Tech. Marine Engineering
Dossier ID: DEG2177080
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ayush Bhatnagar
Mother's Name: Shally Bhatnagar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Oct 2002 Nationality: Indian
Place of Birth: Patiala Personal Identification Mark: Mole on right side of the face
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 23 Oct 2002 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: 57 New Lal Bagh Colony Opp. polo Ground
State: Punjab Country: India
Pin: 147001 City/District: Patiala
Mobile no: 9876275848 Telephone No. with STD code:
Aadhar Card No:695542044680 E-mail: shally.bhatnagar57@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Neeraj Bhatnagar Relationship with candidate: Father
Parents Date of Birth: 22 Dec 1973 Parent's/Guardian's Occupation/Designation: Dental Surgeon
   
Office Address:
   
Address: Bengali Eye,ENT and Dental Clinic Sirhandi Bazar patiala
Country: India State: Punjab
City/District: Patiala Pin: 147001
Tel: 09815398802 Mobile no.: 9815398802
Fax: Email: n.bhatnagar123.NB@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Our Lady of Fatima Convent Senior Secondary School School: Bhupindra International Public School
City: Patiala City: Patiala
English %: 84 Board Roll No./Seat No.: 13665265
Aggregate Percentage: 80 School/College Code: 20307
  Address of School/College: opp. Deer Park, Dakala Road, Patiala
  Centre code:
  Pin: 147001
  Contact Nos: 09876275848
  Email: shally.bhatnagar57@gmail.com
  Aggregate Percentage: 90
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 87 87
Chemistry 100 86 86
Mathematics 100 94 94
Physics, Chemistry & Mathematics combined Percentage: 89
English 100 94 94
   
IMU CET Application Number: CET21U1000629  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2018 100 meter race annual school sports 1 st
11/2018 Long jump annual school sports 2 nd
10/2017 Basketball annual school sports 3 rd
04/2018 200 meter annual school sports 1 st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL DEFINATELY SPEND TIME ON SELF IMPROVEMENT AND WORK ON MY WEAK AREAS. AND WORK ON BEING BOTH MENTALLY AND PHYSICALLY STRONG. I WILL GIVE SUFFICIENT TIME TO MY HOBBIES LIKE PLAYING CHESS AND TABLE TENNIS WHICH WILL HELP KEEPING ME IN A CALM AND RELAXED MOOD AS THIS JOB DEMANDS HIGH PATIENCE AND COOL MOOD. I WILL DEFINATELY MAKE SURE I HAVE MASTERED THESE QUALITIES IN ME BEFORE JOINING MY COLLEGE AND FURTHER ON, I AM REALLY EXCITED TO ENTER NEXT STEP OF MY LIFE AND JOIN MERCHANT NAVY. THANK YOU
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I WANT TO PERSUE MY CAREER IN THE MERCHANT NAVY AND THIS DEGREE WILL BE A PERFECT CHOICE FOR ME TO PROCEED FURTHER AS THIS WILL GIVE ME A THOUROUGH KNOWLEDGE OF THE NAVIGATION AND MAKE ME A MASTER OF IT.
Why do you wish to join TMI?: GOOD ACADEMIC RECORD AND INFRASTRUCTURE GOOD PLACEMENT RECORD EXCELLENT ALUMNI ENHANCES OVERALL PERSONALITY OF AN INDIVIDUAL.
What are your hobbies?: SWIMMING, PLAYING BASKETBALL,PLAYING TT,PLAYING CASIO
What are your strengths?: DETERMINATION
What are your weaknesses?: SELECTIVE IN MY FOOD HABITS
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
 
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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