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: DEG2186132 Name: Divyansh Jaiswal
  Address: 54 mirshilal nagar
Telephone No.: 07272253485 Mobile no: 6263277903
E-mail: divyanshhome143@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186132 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: DEG2186132
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Divyansh Jaiswal
Mother's Name: Sharda Jaiswal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Mar 2003 Nationality: Indian
Place of Birth: Dewas Personal Identification Mark: black spot on chest
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 29 Mar 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: 54 mirshilal nagar
State: Madhya Pradesh Country: India
Pin: 452001 City/District: Dewas
Mobile no: 6263277903 Telephone No. with STD code: 07272253485
Aadhar Card No:317704853772 E-mail: divyanshhome143@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: lakhan jaiswal Relationship with candidate: father
Parents Date of Birth: 20 Jul 1981 Parent's/Guardian's Occupation/Designation: private job
   
Office Address:
   
Address: 54 mirshilal nagar
Country: India State: Madhya Pradesh
City/District: Dewas Pin: 455001
Tel: 06263277903 Mobile no.: 6263277903
Fax: Email: divyanshhome143@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Central India Academy School: St Arnold Higher Secondary School
City: Dewas City: INDORE
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Address of School/College: vijay nagar Indore
  Centre code:
  Pin: 452001
  Contact Nos:
  Email: divyanshhome143@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
09/2016 rollball 62 rajya shelya competeion participation
09/2017 kho kho cbse clusters 1
01/2018 kho kho cbse nationals participation
09/2018 kho kho cbse clusters 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would like to go to my village and spend some time with my grandparents
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because as i see my intrest is more towarads itt..
Why do you wish to join TMI?: As it is the most reputated and trustworthy academy to fullfill my future dreams
What are your hobbies?: cyclying
What are your strengths?: determination and hardwork, family support
What are your weaknesses?: laziness
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

___________________

Date ________________

 
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