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.Sc. Nautical Science
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: K B ANISHRAJ
Mother's Name: K B RATHNA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Dec 2002 Nationality: INDIAN
Place of Birth: SALEM Personal Identification Mark: Two mole under either side of chest
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 17 Dec 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: 610/369E , KESHAV NAGAR SITAPUR ROAD , LUCKNOW.
State: Uttar Pradesh Country: India
Pin: 226020 City/District: LUCKNOW
Mobile no: 8953236345 Telephone No. with STD code:
Aadhar Card No:292349636502 E-mail: anishraj.klb@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: K L BALAN Relationship with candidate: FATHER
Parents Date of Birth: 14 Jul 1974 Parent's/Guardian's Occupation/Designation: WEAVING MASTER
   
Office Address:
   
Address: 610/369E ,KESHAV NAGAR SITAPUR ROAD , LUCKNOW.
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226020
Tel: Mobile no.: 9451803454
Fax: Email: balankl14.klb@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: ISCE Board: CBSE
School: CITY MONTESSORI INTER COLLEGE School: MONTFORT INTER COLLEGE
City: LUCKNOW City: LUCKNOW
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: Mandir Marg, opp. Tender Hearts School, Mahanagar, Lucknow, Uttar Pradesh 226006.
  Centre code:
  Pin: 226006
  Contact Nos:
  Email: montfortlucknow@yahoo.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 joined gym and took care of my body structure.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I like to travel and i want to travel oceans to explore .
Why do you wish to join TMI?: It is a best college for merchant navy courses.
What are your hobbies?: My hobbies are reading books and working out, badminton , football.
What are your strengths?: Leadership , Commitment , Truthful , Communication .
What are your weaknesses?: I am impatient and sometimes lack of confidence.
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
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 ________________

 
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