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.Sc. Nautical Science Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2184566 Name: Dheeraj Kumar
  Address: House no 24 police awas sec 56 gurugram Post rohrai dist rewari
Telephone No.: Mobile no: 9625471816
E-mail: chunnilal733@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1229 (Includes Convenience fee of ₹ 29.0 ) DD Number: -
Issuing Bank: - Transaction Id: 435752087
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2184566 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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2184566
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dheeraj Kumar
Mother's Name: Mrs Anita devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Jul 2003 Nationality: Indian
Place of Birth: Rewari Personal Identification Mark: Scar on left thumb
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 12 Jul 2003 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: House no 24 police awas sec 56 gurugram Post rohrai dist rewari
State: Haryana Country: India
Pin: 123401 City/District: Gurugram
Mobile no: 9625471816 Telephone No. with STD code:
Aadhar Card No:694666686437 E-mail: chunnilal733@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjeet Kumar Relationship with candidate: Father
Parents Date of Birth: 10 Jan 1980 Parent's/Guardian's Occupation/Designation: Ex service man
   
Office Address:
   
Address: Village lala Post rohrai dist rewari
Country: India State: Haryana
City/District: Gurugram Pin: 123401
Tel: Mobile no.: 9625471816
Fax: Email: dheerajjanghu7@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Yaduvanshi shiksha niketan School: Suraj school
City: Rewari City: Gurugram
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: Sec 56 gurugram
  Centre code:
  Pin: 122011
  Contact Nos: 09625471816
  Email: dheerajjanghu7@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
08/2020 Vollyball Interschool 1
09/2020 Discuss throw Block 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By drawing and playing sports like discuss throw
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Well I think Nautical science 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 i has great name and i like this collage .
What are your hobbies?: Playing vollyball , doing exercise
What are your strengths?: I am strong enough and i am also intelligent
What are your weaknesses?: I like extreme cleaness
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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