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.Tech. Marine Engineering
Dossier ID: DEG2185063 Name: Archana saxena
  Address: House no 86 Jankipuram extension Near Maurya Bhatta nahar road
Telephone No.: +918381898878 Mobile no: 8299279749
E-mail: karansaxena079@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 436433440
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2185063 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.Tech. Marine Engineering
Dossier ID: DEG2185063
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Archana saxena
Mother's Name: Archana saxens
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Apr 2003 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Right hand cut mark
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 09 Apr 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Karan saxena Passport No.: R8883160
Date of Expiry: 08 Apr 2021 Place of Issue: Lucknow
(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 86 Jankipuram extension Near Maurya Bhatta nahar road
State: Uttar Pradesh Country: India
Pin: 226021 City/District: Lucknow
Mobile no: 8299279749 Telephone No. with STD code: +918381898878
Aadhar Card No:633415885646 E-mail: karansaxena079@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rachana saxena Relationship with candidate: Mother son
Parents Date of Birth: 01 Jul 1973 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: House no 86 Jankipuram extension Near Maurya Bhatta nahar road
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226021
Tel: Mobile no.: 8299279749
Fax: Email: rachanasaxena2171973@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: 54297 LPS Jankipuram Lucknow School: Capital public school
City: Lucknow City: Lucknow
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Address of School/College: 647 B/I -107 Jankipuram garden Lucknow
  Centre code:
  Pin: 226021
  Contact Nos: 8090028997
  Email: abhiimi0@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
02/2019 Mathematics 1 4
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Cricket and games
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Interested for sea life and traveling.
Why do you wish to join TMI?: Good facility, my cousin already join TMI
What are your hobbies?: Music, games
What are your strengths?: Maths
What are your weaknesses?: Organic chemistry
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 ________________

 
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