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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2179425 Name: appearing
  Address: Jukshan Enclave, Near Gularahia Thana, Medical College Road,GKP Deoria Meer Deoria
Telephone No.: +917236919492 Mobile no: 7236919492
E-mail: rishimall2003@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: 430694756
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2179425 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2179425
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: appearing
Mother's Name: Vijay Laxmi Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Mar 2003 Nationality: Indian
Place of Birth: Deoria Meer Personal Identification Mark: Black mark on left chick
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 18 Mar 2003 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: Jukshan Enclave, Near Gularahia Thana, Medical College Road,GKP Deoria Meer Deoria
State: Uttar Pradesh Country: India
Pin: 273013 City/District: Gorakhpur
Mobile no: 7236919492 Telephone No. with STD code: +917236919492
Aadhar Card No:330396917872 E-mail: rishimall2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Upendra Kumar Mall Relationship with candidate: Son
Parents Date of Birth: 01 Feb 1969 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Jukshan Enclave,Near Gularahia Thana, Medical College Gkp Deoria Meer Deoria
Country: India State: Uttar Pradesh
City/District: Gorakhpur Pin: 273013
Tel: Mobile no.: 9198226072
Fax: Email: upendras1964@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Hallmark World School School: Hallmark World School
City: Gorakhpur City: Gorakhpur
English %: 55 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code:
  Address of School/College: Hallmark World School,Medical College Road, Gram Naharpur, Near Sariya, Gorakhpur Rd, Rassoolpur, Uttar Pradesh
  Centre code:
  Pin: 273152
  Contact Nos:
  Email: rishimall2003@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
11/2018 400m Running 15 3
11/2019 1600m Running 30 4
11/2019 100m Running 10 1
11/2019 Kabaddi 6 2
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Visiting the local unexplored places, Joining an NGO, Spending some time with family.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Beacuse TMI is one of the largest maritime educational centers offering MARINE ENGINEERING and NAUTICAL SCIENCE degree programs
Why do you wish to join TMI?: To join Indian Navy.
What are your hobbies?: Cricket, Football, Volleyball.
What are your strengths?: My Friends, Family and my truthness.
What are your weaknesses?: My Friends and my Family
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

 

___________________

Date ________________

 
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