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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dhananjay Singh Negi
Mother's Name: Nisha Negi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 May 2003 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: Mole on right little finger
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 11 May 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: LOWER BADRISH COLONY LANE NO 5 DHARAMPUR DANDA Saket colony c block ajabpur kalan
State: Uttaranchal Country: India
Pin: 248001 City/District: DEHRADUN
Mobile no: 8755955060 Telephone No. with STD code: 9258673800
Aadhar Card No: E-mail: gopalsinghnegi1978@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Gopal Singh Negi Relationship with candidate: Father
Parents Date of Birth: 25 Jun 1978 Parent's/Guardian's Occupation/Designation: Buisness
   
Office Address:
   
Address: LOWER BADRISH COLONY LANE NO 5 DHARAMPUR DANDA 46 Dilaram Bazar Rajpur Road Dehradun
Country: India State: Uttaranchal
City/District: DEHRADUN Pin: 248001
Tel: 9258673800 Mobile no.: 9258673800
Fax: Email: gopalsinghnegi1978@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: SJA School: SJA
City: DEHRADUN City: DEHRADUN
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Address of School/College: LOWER BADRISH COLONY LANE NO 5 DHARAMPUR DANDA
  Centre code:
  Pin: 248001
  Contact Nos: 9258673800
  Email: gopalsinghnegi1978@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 like to spend my time by studying for various competitve exams.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Since this is a degree course and we get a longer time period for learning new things and new life experiences
Why do you wish to join TMI?: I wish to join TMI because of its faculty and the method of its teaching and its management.
What are your hobbies?: Playing chess,foootball and cricket.
What are your strengths?: Leadership,hardworking,good communication skills and a spirit of never give up.
What are your weaknesses?: Mobile phones and internet.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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 ________________