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: DEG2183226 Name: SHUBHANSHU PANDEY
  Address: Abhinandan colony behind vijan mahal tilhari VIJAN MAHAL Tilhari
Telephone No.: 6266995073 Mobile no: 6266995073
E-mail: shubhanshupandey70@gmail.com  
   
Application fee payment details:  
Payment Status: Offline 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 DEG2183226 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.Sc. Nautical Science
Dossier ID: DEG2183226
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHUBHANSHU PANDEY
Mother's Name: MANJU PANDEY
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Sep 2003 Nationality: INDIA
Place of Birth: JABALPUR Personal Identification Mark: Cut on forehead
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 24 Sep 2003 Nationality: INDIA
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: Abhinandan colony behind vijan mahal tilhari VIJAN MAHAL Tilhari
State: Madhya Pradesh Country: India
Pin: 482020 City/District: Jabalpur
Mobile no: 6266995073 Telephone No. with STD code: 6266995073
Aadhar Card No:437227071020 E-mail: shubhanshupandey70@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rakesh Kumar Pandey Relationship with candidate: Father
Parents Date of Birth: 01 Oct 1970 Parent's/Guardian's Occupation/Designation: Graduate
   
Office Address:
   
Address: Abhinandan colony behind vijan mahal tilhari VIJAN MAHAL Tilhari
Country: India State: Madhya Pradesh
City/District: Jaunpur Pin: 482020
Tel: 6266995073 Mobile no.: 9893212650
Fax: Email: shubhanshupandey70@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: KV 1STC School: KV 1STC
City: JABALPUR City: JABALPUR
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: KENDRIYAVIDYALAYA 1STC CANTT SADAR
  Centre code:
  Pin: 482001
  Contact Nos: 07612931011
  Email: 1stcjbpkv@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would like to travel to different cities
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: is gives a good career opportunities
Why do you wish to join TMI?: its my dream
What are your hobbies?: tavelling
What are your strengths?: i am always motivated
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

 

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Date ________________

 
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