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: DEG2186640
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: DWIVEDI AMITABH DHAR RADHESH DHAR
Mother's Name: KAUSHAL DAHR DWIVEDI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Apr 2003 Nationality: INDIAN
Place of Birth: ULHASHNAGAR Personal Identification Mark: MOLE ON UPPER FOREHEAD
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 03 Apr 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: FLAT NO. 403 B-WING PHASE 1 MOHAN PARADISE,WAYLENAGAR KALYAN
State: Maharashtra Country: India
Pin: 421301 City/District: THANE
Mobile no: 8080092000 Telephone No. with STD code: 08080092000
Aadhar Card No:494917430438 E-mail: amitabhdhardwivedi@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RADHESH DHAR DWIVEDI Relationship with candidate: FATHER
Parents Date of Birth: 30 Jun 1974 Parent's/Guardian's Occupation/Designation: KAUSHAL DHAR DWIVEDI
   
Office Address:
   
Address: 405,BHARAT CHAMBER, CARNAC BUNDER,MASJID MUMBAI
Country: India State: Maharashtra
City/District: MUMBAI Pin: 400009
Tel: 09699334410 Mobile no.: 8080092000
Fax: Email: amitabhdhardwivedi@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: Maharashtra
School: PODAR INTERNATIONAL School: SHRI S.S.MHETRE JR.ASHRAM
City: KALYAN City: RUDDEWADI
English %: 61 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Address of School/College: RUDDEWADI,AKKALKOT,DIST.SOLAPUR
  Centre code:
  Pin: 413220
  Contact Nos: 9320671836
  Email: kaushaldhar21@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
12/2017 RUNNING SCHOOL LEVEL 1ST
12/2017 LONGJUMP SCHOOL LEVEL 2ND
11/2016 FOOTBALL SCHOOL LEVEL 1ST
12/2017 CRICKET SCHOOL LEVEL 2ND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I INTEND TO SPEND MY MOST OF THE TIME WITH MY FAMILY AND MY BROTHERS AND SISTERS AT MY NATIVE PLACE
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: IT GIVES ME THE OPPORUTNITY TO BE SELF INDEPENDENT AND DEAL WITH THE SITUATION BY YOURSELF AND AFTER ALL I DONT WANT TO JUST SIT IN A OFFICE IN FRONT OF LAPTOP OR PC
Why do you wish to join TMI?: KNOWING THAT ITS A GREAT COLLEGE OF GREAT OPPORTUNITIES
What are your hobbies?: PLAYING DIFFERENT KINDS OF SPORTS,MUSIC
What are your strengths?: STRATEGIC,SPORTY,CONFIDENCE
What are your weaknesses?: DONT KNOW HOW TO SWIM
How do you intend to meet the expenses of this program?: Own Resources
 
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 ________________