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: DEG2186662
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NIKITA CHOUDHARY
Mother's Name: GEETA KUMARI
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 May 2003 Nationality: INDIAN
Place of Birth: BIHAR Personal Identification Mark: mole on right side of neck
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 08 May 2003 Nationality: INDIAN
Gender (M/F): Female 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: CAB/F-31 Near Sona Medical Board Colony LBS Nagar Patna Sadar Patna Road no 7
State: Bihar Country: India
Pin: 800023 City/District: Patna
Mobile no: 6203411816 Telephone No. with STD code: 6210
Aadhar Card No:960639876986 E-mail: nikita.120choudhary@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dhirendra Kumar Choudhary Relationship with candidate: Father
Parents Date of Birth: 03 Sep 1968 Parent's/Guardian's Occupation/Designation: Self Employment
   
Office Address:
   
Address: CAB/F-31 Near Sona Medical Board Colony LBS Nagar Patna Sadar Patna Road no 7
Country: India State: Bihar
City/District: Patna Pin: 800023
Tel: Mobile no.: 9472165225
Fax: Email: geeta101277bseb@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Sri Prakash Vidya Niketan School: Sri Prakash Vidya Niketan
City: Andhra Pradesh City: Visakhapatnam
English %: 87 Board Roll No./Seat No.: 20653502
Aggregate Percentage: 92 School/College Code: 57071
  Address of School/College: PL Puram Payakaraopeta
  Centre code: 5915
  Pin: 531126
  Contact Nos:
  Email: sriprakash_educ@yahoo.com
  Aggregate Percentage: 91
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 95 95
Chemistry 100 95 95
Mathematics 100 95 95
Physics, Chemistry & Mathematics combined Percentage: 95
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
11/2018 KHO KHO NATIONAL quarter
10/2018 KHO KHO CBSE Cluster 7 1st
10/2017 KHO KHO SOUTH ZONE NO
10/2015 HANDBALL SOUTH ZONE NO
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: READING BOOKS
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BECAUSE I AM INTERESTED IN IT
Why do you wish to join TMI?: TO LEARN
What are your hobbies?: READING AND PLAYING
What are your strengths?: ME
What are your weaknesses?: ME
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 ________________