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: DEG2184403
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VIKASH VERMA
Mother's Name: TIKESHWARI VERMA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Nov 2002 Nationality: INDIA
Place of Birth: Budgahan Personal Identification Mark: MOLE IN FACE
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 01 Nov 2002 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: E-27 PRISM JOHNSON LIMITED MANKAHARI,SATNA
State: Madhya Pradesh Country: India
Pin: 485111 City/District: SATNA
Mobile no: 7024791307 Telephone No. with STD code:
Aadhar Card No:409613155168 E-mail: vikashvermapro@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: TENURAM VERMA Relationship with candidate: FATHER
Parents Date of Birth: 25 May 1968 Parent's/Guardian's Occupation/Designation: PRIVATE JOB
   
Office Address:
   
Address: PRISM JOHNSON LIMITED MANKAHARI,SATNA
Country: India State: Madhya Pradesh
City/District: SATNA Pin: 485111
Tel: Mobile no.: 9826632984
Fax: Email: vikashvermapro@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: B-V-B PRISM SCHOOL MANKAHARI RAMPUR SATNA MP School: B-V-B PRISM SCHOOL MANKAHARI RAMPUR SATNA MP
City: SATNA City: SATNA
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: PRISM JOHNSON LIMITED MANKAHARI,SATNA
  Centre code:
  Pin: 485111
  Contact Nos:
  Email: vikashvermapro@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2017 KARATE WHITE BELT WHITE BELT
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: REVISING
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES
Why do you wish to join TMI?: SO THAT I CAN SHARPEN MY SKILL
What are your hobbies?: STRIKER IN FOOTBALL
What are your strengths?: NEVER GIVE UP
What are your weaknesses?: SNAKES
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 ________________