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: DEG2183757 Name: Indrajeet Kumar
  Address: Village Dhapari Post Niyamatabad District Chandauli
Telephone No.: 9044349385 Mobile no: 9044349385
E-mail: Indrajeet596kumar@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 437930817
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2183757 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: DEG2183757
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Indrajeet Kumar
Mother's Name: Late Manju Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jul 2002 Nationality: Indian
Place of Birth: Mughalsarai Personal Identification Mark: Mole on lower lip left side
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 17 Jul 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: Village Dhapari Post Niyamatabad District Chandauli
State: Uttar Pradesh Country: India
Pin: 232101 City/District: Chandauli
Mobile no: 9044349385 Telephone No. with STD code: 9044349385
Aadhar Card No:931548122982 E-mail: Indrajeet596kumar@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Madan Mohan Relationship with candidate: Father
Parents Date of Birth: 20 Jan 1978 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Village dhapari Post Niyamatabad District Chandauli
Country: India State: Uttar Pradesh
City/District: Mughalsarai Pin: 232101
Tel: 9044349385 Mobile no.: 8738061085
Fax: Email: indrajeet596kumar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: VidyaGyan school sitapur School: VidyGyan school sitapur
City: Sitapur City: Sitapur
English %: 91 Board Roll No./Seat No.: 23721224
Aggregate Percentage: 95 School/College Code:
  Address of School/College: Suraincha sidhauli sitapur
  Centre code: 0000
  Pin: 232101
  Contact Nos: 8853989735
  Email: VidyaGyanSchool.Sitapur@vidyagyan.in
  Aggregate Percentage: 90
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 91 91
Chemistry 100 93 93
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 88
English 100 91 91
   
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
07/2018 NCC district level 1
08/2019 inter house cricket tournament school level 1
06/2018 annual meet school level 1
06/2019 march past sistrict level 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will work on my communication skill I will look upon my fitness
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: looking at my physique and personality, I think i can serve merchant navy.
Why do you wish to join TMI?: I always aspire to join in merchant navy as it has good reputation in the society also it pays well.
What are your hobbies?: I play cricket , hang out with friends, surfing net, reading books
What are your strengths?: I am very much active in any sports tournament which happens in my school, I like to talk t new people, I can persuade anyone by my attractive nature
What are your weaknesses?: I do not listen to anyone if I am right in any scenario.
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 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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