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.Sc. Nautical Science
Dossier ID: DEG2185784 Name: Shivansh Jha
  Address: A-162, DPS CAMPUS YAMUNAPURAM BULANDSHAHR
Telephone No.: Mobile no: 7015436354
E-mail: shivanshjha08@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 437847132
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2185784 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.Sc. Nautical Science
Dossier ID: DEG2185784
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shivansh Jha
Mother's Name: Lalita Jha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Aug 2003 Nationality: Indian
Place of Birth: Dhanbad Personal Identification Mark: Scar on left arm
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 31 Aug 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Shivansh Jha Passport No.: U4120196
Date of Expiry: 10 Sep 2030 Place of Issue: Ghaziabad
(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: A-162, DPS CAMPUS YAMUNAPURAM BULANDSHAHR
State: Uttar Pradesh Country: India
Pin: 203001 City/District: Bulandshahr
Mobile no: 7015436354 Telephone No. with STD code:
Aadhar Card No:251005324019 E-mail: shivanshjha08@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shivanand Jha Relationship with candidate: Father
Parents Date of Birth: 18 Jul 1966 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: Delhi Public School, Yamunapuram Bulandshahr
Country: India State: Uttar Pradesh
City/District: Bulandshahr Pin: 203001
Tel: Mobile no.: 8168626682
Fax: Email: shivanshjha08@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Delhi Public School Yamunapuram Bulandshahr School: Delhi Public School Yamunapuram Bulandshahr
City: Bulandshahr City: Bulandshahr
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Address of School/College: Delhi Public School, Phase 2, Yamunapuram, Bulandshahr
  Centre code:
  Pin: 203001
  Contact Nos:
  Email: dpsb_shahr@rediffmail.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
05/2020 Inter School Football Competition Inter School 3
06/2019 Inter DPS Environment Singing Festival InterSchool 2
10/2019 Inter DPS Orchestra Competition Inter School 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will pursue my hobby of playing Tabla and Keyboard. Reading will be the next thing I will focus on. I will try to acquire some knowledge regarding the B.Tech Marine Eng Course and will spend some pleasant time with family before joining college.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I always had a dream to be on the Engine side and explore different machinery and other equipment of a ship. I have problem in my eyesight which is why i will be able to work on the engine side which I want.
Why do you wish to join TMI?: Tolani Maritime Institute is one of the leading institutes in India with experienced faculty and high placement records. I have got plenty good feedback regarding TMI from the graduates which adds a factor to join TMI.
What are your hobbies?: Singing, Playing Tabla and Keyboard, Gardening.
What are your strengths?: I am an optimistic person with great leadership qualities that helps me in tackling various adverse situations easily. I am disciplined, punctual, hardworking and creative person which makes me a a good leader.
What are your weaknesses?: I lack in expressing my thoughts easily. I get angry when the given work is not completed under the deadline. I often get hurt by criticism.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport 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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