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: DEG2177843 Name: Jai Bansal
  Address: A-149 LOK VIHAR,PITAMPURA delhi
Telephone No.: Mobile no: 9999689880
E-mail: jaigopal2001@yahoo.in  
   
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: 438637985
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2177843 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: DEG2177843
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Jai Bansal
Mother's Name: Sonia Bansal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Oct 2003 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: Mark on lower right leg
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 04 Oct 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Jai Bansal 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: A-149 LOK VIHAR,PITAMPURA delhi
State: Delhi Country: India
Pin: 110034 City/District: pitampura
Mobile no: 9999689880 Telephone No. with STD code:
Aadhar Card No:405188293776 E-mail: jaigopal2001@yahoo.in
 
Guardian's Particulars:
 
Name of Parent/Guardian: Krishan Gopal Bansal Relationship with candidate: Father
Parents Date of Birth: 27 Feb 1969 Parent's/Guardian's Occupation/Designation: Service/Executive Engineer
   
Office Address:
   
Address: Chief Engineer cum ED, CPWD, Leh Project Zone ,Choglamsar ,Behind petrol pump, Leh U T of Ladakh
Country: India State: Delhi
City/District: pitampura Pin: 110034
Tel: 01142458442 Mobile no.: 9968328565
Fax: Email: kgbansal09@yahoo.co.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: MM PUBLIC SCHOOL VASUDA ENCLAVE PITAMPURA School: MM PUBLIC SCHOOL
City: PITAMPURA City: PITAMPURA
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: Vasudha Enclave Pitampura Delhi
  Centre code:
  Pin: 110034
  Contact Nos: 9999689880
  Email: kgbansal09@yahoo.co.in
  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 ?: Involving in sports activities and updated with computer knowledge
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Definitely it has been my childhood dream
Why do you wish to join TMI?: It is the best marine institute available and impart the best of the training to its candidates
What are your hobbies?: Listening music
What are your strengths?: Creativity and stay focused
What are your weaknesses?: Trust people very quickly
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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