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: DEG2182240
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AYUSH KUMAR RASTOGI
Mother's Name: Guriya Kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Sep 2002 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: mole on left cheek
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 27 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: CHHOTI BALLIA BAZAR NEAR VIVAH BHAWAN P.O-LAKHMINIA,DIST.BEGUSARAI,BIHAR Aushadhi Medico
State: Bihar Country: India
Pin: 851211 City/District: Begusarai
Mobile no: 9065787207 Telephone No. with STD code:
Aadhar Card No:746063655973 E-mail: ayushrastogi5031@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Deepak Kumar Rastogi Relationship with candidate: Father
Parents Date of Birth: 01 Feb 1969 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: CHHOTI BALLIA BAZAR NEAR VIVAH BHAWAN P.O-LAKHMINIA,DIST.BEGUSARAI,BIHAR Aushadhi Medico
Country: India State: Bihar
City/District: Begusarai Pin: 851211
Tel: Mobile no.: 9934675851
Fax: Email: ayushrastogi5031@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: KCPSARP School School: KCPSARP School
City: Vijayawada City: Vijayawada
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Address of School/College: Opp.Navata Transport,Kanuru,Vijayawada,AP
  Centre code:
  Pin: 520008
  Contact Nos:
  Email: kcpsarpschool@rediffmail.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
09/2016 football JR Boys InterSchool Winners
12/2018 ALL INDIA ESSAY WRITING EVENT 2018 NATIONAL LEVEL WINNER
12/2019 100 MTR RELAY SR BOYS INTERSCHOOL 3rd
08/2019 Volleyball Interschool Runner UP
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL TRY TO LEARN NEW THINGS RATHER THAN WASTING MY TIME AND I LIKE TO LEARN NEW THINGS.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES I THINK WHICH EVER COURSE I WILL GET I WILL GET MY BEST OUT OF IT.
Why do you wish to join TMI?: BEST INFRASTRUCTURES AND BEST FACULTIES
What are your hobbies?: VOLLEYBALL,CRICKET,SOLVING MATHS
What are your strengths?: MATHS
What are your weaknesses?: NOTHING
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 ________________