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: DEG2186140 Name: ANUJ TIWARI
  Address: PURE SUCHIT WAZIRGANJ GONDA
Telephone No.: Mobile no: 9454797453
E-mail: donboss568@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 438359405
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186140 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: DEG2186140
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANUJ TIWARI
Mother's Name: SANJU LATA TIWARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Dec 2003 Nationality: INDIAN
Place of Birth: GONDA UP Personal Identification Mark: CUT ON RIGHT EYEBROW
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 20 Dec 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: PURE SUCHIT WAZIRGANJ GONDA
State: Uttar Pradesh Country: India
Pin: 271124 City/District: GONDA
Mobile no: 9454797453 Telephone No. with STD code:
Aadhar Card No:648373354313 E-mail: donboss568@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRADEEP KUMAR TIWARI Relationship with candidate: FATHER
Parents Date of Birth: 15 Aug 1975 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: PURE SUCHIT WAZIRGANJ GONDA
Country: India State: Uttar Pradesh
City/District: GONDA Pin: 271124
Tel: 0 Mobile no.: 9554381351
Fax: Email: pktpradeepkumar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Uttar Pradesh
School: VIDYAGYAN SCHOOL School: PANDIT SHEETLA SHARAN SHUKLA INTER COLLEGE
City: SITAPUR City: GONDA
English %: 97 Board Roll No./Seat No.: 217241113
Aggregate Percentage: 96 School/College Code: 1397
  Address of School/College: BARAIPARA, BALESHWARGANJ
  Centre code: 0000
  Pin: 271124
  Contact Nos: 9554381351
  Email: pktpradeepkumar@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 81 81
Mathematics 100 72 72
Physics, Chemistry & Mathematics combined Percentage: 77.67
English 100 73 73
   
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
10/2016 MUSIC NATIONAL FIRST
02/2017 FOOTBALL INTRA SCHOOL FIRST
03/2018 FOOTBALL INTRA SCHOOL SECOND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would utilise this time in a purely non-academic sense, enhancing the skills which would always help me. I intend to develop, evolve and polish a few soft skills within me, like communication and writing ability. Also, I hope to teach the children of my village, in a non-profit sense.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have always been taken very much with two things - Machines and Sea. I think a degree in Marine Engineering/ Nautical Science is a perfect blend, covering both my fascinations. I would be able to travel wide and far across the seas as well as exercise my obsessions with machines and pride myself as an engineer.
Why do you wish to join TMI?: I wish to join TMI because it is the best Maritime Institute in India. The seniors studying at TMI tell that they have been to no place with better environment, interactive learning, energetic professors, world class academics, hands on experience and enhanced job perspectives.
What are your hobbies?: I like to play football, listen to music, read novels and play piano.
What are your strengths?: Intelligent quick-learner team-worker perservant and good communicator
What are your weaknesses?: Overly critical and too detail oriented
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
 
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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