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: DEG2183486 Name: Shivam kumar
  Address: Gram deodharpur vivekanand colony, bad no 13, post tekari, thana tekari, tikari, gaya Bohiya, thana alipur, gaya
Telephone No.: Mobile no: 9661607769
E-mail: shivamkumar12mh@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: 434511008
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2183486 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: DEG2183486
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shivam kumar
Mother's Name: Rina devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2004 Nationality: Indian
Place of Birth: Dhanbad Personal Identification Mark: Mole on right shoulder
Blood Group: O -  
 
Date of Birth (DD/MM/YY): 12 Mar 2004 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: Gram deodharpur vivekanand colony, bad no 13, post tekari, thana tekari, tikari, gaya Bohiya, thana alipur, gaya
State: Bihar Country: India
Pin: 824236 City/District: Tekari
Mobile no: 9661607769 Telephone No. with STD code:
Aadhar Card No: E-mail: shivamkumar12mh@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Santosh kumar Relationship with candidate: Father
Parents Date of Birth: 15 Apr 1979 Parent's/Guardian's Occupation/Designation: Ex-serviceman army
   
Office Address:
   
Address: Vivekanand colony, bus stand tekari, gaya Bohiya, thana alipur, gaya
Country: India State: Bihar
City/District: Tekari Pin: 824236
Tel: Mobile no.: 8210879393
Fax: Email: santoshrs432@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: Gyan bharti senior secondary school School: SNS college
City: Tekari City: Tekari
English %: 70 Board Roll No./Seat No.: 21010441
Aggregate Percentage: 73 School/College Code: 21026
  Address of School/College: Tekari, gaya
  Centre code: 10350913408
  Pin: 824236
  Contact Nos:
  Email: principal@snscollegetekari.org
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 49 49
Chemistry 100 67 67
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 60.67
English 100 75 75
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing XII final exams, I was feeling soo relaxed and free, I spent my time by going on a tour and doing Many type of fun activities.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because, 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.
Why do you wish to join TMI?: Because, TMI is one of the best college for btech marine engineering.
What are your hobbies?: Travelling
What are your strengths?: My patience is my strength.
What are your weaknesses?: My weakness is that I tend to trust people very easily.
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 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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