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: Name: Nihal shukla
  Address: 2/24 Rajni khand Shardanagar Lucknow
Telephone No.: 07607028602 Mobile no: 7607028602
E-mail: gabbarpandit1234@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Online
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Nihal shukla
Mother's Name: Reeta shukla
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Sep 2000 Nationality: Indain
Place of Birth: Lucknow Personal Identification Mark: Mole on right hand
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 20 Sep 2000 Nationality: Indain
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Nihal shukla 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: 2/24 Rajni khand Shardanagar Lucknow
State: Uttar Pradesh Country: India
Pin: 226002 City/District: Lucknow
Mobile no: 7607028602 Telephone No. with STD code: 07607028602
Aadhar Card No: E-mail: gabbarpandit1234@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Maheshchandrashukla Relationship with candidate: Son
Parents Date of Birth: 24 Apr 1976 Parent's/Guardian's Occupation/Designation: GM of indian oil
   
Office Address:
   
Address: 441/Rn/666 Rastogi nagar balaganj lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226002
Tel: 7607028602 Mobile no.: 7607028602
Fax: Email: gabbarpandit1234@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: NIOS
School: Lps School: Kendriya vidhyalay
City: Lucknow City: Lucknow
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 65 School/College Code:
  Address of School/College: Lucknow cantomne
  Centre code:
  Pin: 226002
  Contact Nos: 07607028602
  Email: gabbarpandit1234@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I start preparation for this field and collected knowledge
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes I is best option for me
Why do you wish to join TMI?: Because it my dream college and best of best college in India
What are your hobbies?: Reading a book listen a song
What are your strengths?: I have ability to always learn something new
What are your weaknesses?: Not know
How do you intend to meet the expenses of this program?: Own Resources
 
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 ________________

 
Print Summary and Application Form