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: DEG2180022 Name: Aryan verma
  Address: E644 VISWA BANK BARRA KANPUR
Telephone No.: 9520856101 Mobile no: 9520856101
E-mail: verma.aryan8273@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2180022 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.Sc. Nautical Science
Dossier ID: DEG2180022
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aryan verma
Mother's Name: Usha verma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Sep 2002 Nationality: Indian
Place of Birth: Etawah Personal Identification Mark: Moles on left side on chest
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 24 Sep 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: E644 VISWA BANK BARRA KANPUR
State: Uttar Pradesh Country: India
Pin: 208027 City/District: Kanpur
Mobile no: 9520856101 Telephone No. with STD code: 9520856101
Aadhar Card No:882756959885 E-mail: verma.aryan8273@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: GOPAL babu Relationship with candidate: Father
Parents Date of Birth: 15 May 1996 Parent's/Guardian's Occupation/Designation: Government employee
   
Office Address:
   
Address: E644 VISWA BANK BARRA KANPUR
Country: India State: Uttar Pradesh
City/District: Kanpur Pin: 208027
Tel: 09520856101 Mobile no.: 9415512493
Fax: Email: verma.aryan8273@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: NIOS
School: Gyan sthali residential school School: Ss memorial school
City: Etawah City: Ghaziabad
English %: 74 Board Roll No./Seat No.: 920720302198
Aggregate Percentage: 63 School/College Code: 210439
  Address of School/College: Pratap Vihar Uttar Pradesh Ghaziabad
  Centre code: 2131719
  Pin: 201009
  Contact Nos: 18001809393
  Email: cdharuman@nios.ac.in
  Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 55 55
Chemistry 100 56 56
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 60.33
English 100 69 69
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: No
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Navy
What are your hobbies?: Reading books
What are your strengths?: Knowledge
What are your weaknesses?: Nothing
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 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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