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.Tech. Marine Engineering
Dossier ID: DEG2180812 Name: SARANSH AGARWAL
  Address: B 15 H-ROAD MAHANAGAR EXTENSION LUCKNOW. B 13 H ROAD MAHANAGAR EXTENSION LUCKNOW.
Telephone No.: 7080040217 Mobile no: 7080040217
E-mail: saranshagarwal2003@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: 432211185
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2180812 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.Tech. Marine Engineering
Dossier ID: DEG2180812
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SARANSH AGARWAL
Mother's Name: SARIKA AGARWAL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Nov 2003 Nationality: INDIAN
Place of Birth: LUCKNOW Personal Identification Mark: birth mark on stomach
Blood Group: B -  
 
Date of Birth (DD/MM/YY): 21 Nov 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: B 15 H-ROAD MAHANAGAR EXTENSION LUCKNOW. B 13 H ROAD MAHANAGAR EXTENSION LUCKNOW.
State: Uttar Pradesh Country: India
Pin: 226006 City/District: LUCKNOW
Mobile no: 7080040217 Telephone No. with STD code: 7080040217
Aadhar Card No:733455191354 E-mail: saranshagarwal2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ROHIT AGARWAL Relationship with candidate: FATHER
Parents Date of Birth: 24 Dec 1975 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: B 15 H-ROAD MAHANAGAR EXTENSION LUCKNOW. B 13 H ROAD MAHANAGAR EXTENSION LUCKNOW.
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226006
Tel: 09415059675 Mobile no.: 9415059671
Fax: Email: saranshagarwal2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: JAIPURIA SCHOOL School: JAIPURIA SCHOOL
City: LUCKNOW City: LUCKNOW
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: VINEET KHAND , GOMTI NAGAR , LUCKNOW.
  Centre code:
  Pin: 226006
  Contact Nos: 7800123422
  Email: saranshagarwal2003@gmail.com
  Aggregate Percentage: 87
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 79 79
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 80
English 100 89 89
   
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
05/2017 SWIMMING INTER SCHOOL 2nd
05/2016 SWIMMING INTER SCHOOL 2nd
04/2014 ATHLETICS INTER SCHOOL 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WISH TO SPEND MY TIME BY WORKING ON MY WEAKNESSES AND ALSO MORE IMPROVING MY QUALITIES.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES IT IS GOOD FOR ME.
Why do you wish to join TMI?: I WISH TO JOIN TMI FOR ITS GOOD PLACEMENTS AND GREAT EDUCATION SYSTEM.
What are your hobbies?: MY HOBBIES ARE TO PLAY BADMINTON AND DO EXERCISE REGULARLY AND SWIMMING.
What are your strengths?: MY STRENGTHS ARE DISCIPLINE, SWIMMING, AND DETERMINATION.
What are your weaknesses?: MY WEAKNESS IS CREATIVITY.
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
 
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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