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.Sc. Nautical Science
Dossier ID: DEG2180675 Name: AYUSH GUPTA
  Address: HOUSE NO.- 7, ANAND VIHAR COLONY KALYANPUR
Telephone No.: Mobile no: 9140974676
E-mail: ayushgupta9321@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 441315115
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2180675 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2180675
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AYUSH GUPTA
Mother's Name: LATE SEEMA GUPTA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Jul 2002 Nationality: INDIA
Place of Birth: LUCKNOW Personal Identification Mark: TIL ON RIGHT SHOULDER
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 23 Jul 2002 Nationality: INDIA
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : AYUSH GUPTA Passport No.: Z6049919
Date of Expiry: 20 Dec 2030 Place of Issue: LUCKNOW
(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: HOUSE NO.- 7, ANAND VIHAR COLONY KALYANPUR
State: Uttar Pradesh Country: India
Pin: 226022 City/District: LUCKNOW
Mobile no: 9140974676 Telephone No. with STD code:
Aadhar Card No:254196587203 E-mail: ayushgupta9321@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JAYANT SEN GUPTA Relationship with candidate: FATHER
Parents Date of Birth: 23 Feb 1970 Parent's/Guardian's Occupation/Designation: GOVT. SERVICE
   
Office Address:
   
Address: U.P. POLICE WIRELESS HEADQUARTERS MAHANAGAR
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226006
Tel: Mobile no.: 7007921913
Fax: Email: jayant4085@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: MONTFORT INTER COLLEGE School: MONTFORT INTER COLLEGE
City: LUCKNOW City: LUCKNOW
English %: 73 Board Roll No./Seat No.: 23674979
Aggregate Percentage: 61 School/College Code: 70997
  Address of School/College: MONTFORT INTER COLLEGE, MAHANAGAR, LUCKNOW.
  Centre code: 7197
  Pin: 226006
  Contact Nos:
  Email: montfortlucknow@yahoo.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 72 72
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 68.67
English 100 76 76
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2019 NCC B CERTIFICATE 10 DAYS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spend my time relaxing and quality time with friends and family, space to analyse my future plans and most importantly, some time for myself.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Well I think marine engineering is always good option for anyone who is looking to be in the shipping industry and sail the world at large. It is interesting and challenges your all senses.
Why do you wish to join TMI?: I want to join TMI as it is obviously one of the best institutes in India for marine engineering.
What are your hobbies?: SWIMMING
What are your strengths?: FOCUSED, SELF - CONTROL
What are your weaknesses?: PUBLIC SPEAKING, PRESENTATION SKILLS.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form