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.Sc. Nautical Science
Dossier ID: DEG2185391 Name: SATYAM SINGH
  Address: VILL LATTHUDIH POST GANDHINAGAR DIST GHAZIPUR 233225
Telephone No.: Mobile no: 8882128347
E-mail: devisingh85@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 436852887
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2185391 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.Sc. Nautical Science
Dossier ID: DEG2185391
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SATYAM SINGH
Mother's Name: BINDU SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Aug 2003 Nationality: INDIAN
Place of Birth: LATTHUDIH Personal Identification Mark: A BLACK MOLE ON FACE
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 12 Aug 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: VILL LATTHUDIH POST GANDHINAGAR DIST GHAZIPUR 233225
State: Uttar Pradesh Country: India
Pin: 233225 City/District: GHAZIPUR
Mobile no: 8882128347 Telephone No. with STD code:
Aadhar Card No:589410587745 E-mail: devisingh85@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANJAY SINGH Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VILL LATTHUDIH POST GANDHINAGAR GHAZIPUR 233225
Country: India State: Uttar Pradesh
City/District: GHAZIPUR Pin: 233225
Tel: Mobile no.: 9554033604
Fax: Email: satyam001@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: SUNBEAM SCHOOL MAHARAJGANJ GHAZIPUR UP School: B S Y SHIKSHAN SANSTHAN TULASIPUR GHAZIPUR UP
City: GHAZIPUR City: GHAZIPUR
English %: 90 Board Roll No./Seat No.: 23630988
Aggregate Percentage: 80 School/College Code: 54021
  Address of School/College: TULASIPUR GHAZIPUR
  Centre code: 7094
  Pin: 233307
  Contact Nos: 8004371530
  Email: bsyss@rediffmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 80 80
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 75
English 100 76 76
   
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 HANDBOLL SCHOOL RUNNERUP
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: SELECTING MY COLLEGE AND PREPARING FOR THEIR ENTRANCE
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I LOVE THE SEA AND LOVE THE EXPLORE
Why do you wish to join TMI?: IT IS ONE OF THE BEST COLLEGE IN INDIA
What are your hobbies?: PHOTOGRAPHY
What are your strengths?: MY THINKING ABILITY
What are your weaknesses?: FOCUS ON ONE WORK AT A TIME
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 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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