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: DEG2186815 Name: Amritansh kumar verma
  Address: 4H/41 Bhootnath road Bahadurpur housing colony
Telephone No.: Mobile no: 7260886756
E-mail: amritanshkumarverma.09@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 439398810
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186815 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: DEG2186815
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Amritansh kumar verma
Mother's Name: Shweta suman
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Mar 2004 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: mole on face
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 31 Mar 2004 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: 4H/41 Bhootnath road Bahadurpur housing colony
State: Bihar Country: India
Pin: 800026 City/District: Patna
Mobile no: 7260886756 Telephone No. with STD code:
Aadhar Card No:753540307497 E-mail: amritanshkumarverma.09@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Alok Ranjan Relationship with candidate: Father
Parents Date of Birth: 02 Feb 1968 Parent's/Guardian's Occupation/Designation: business
   
Office Address:
   
Address: 4H/41 Bhootnath road Bahadurpur housing colony
Country: India State: Bihar
City/District: Patna Pin: 800026
Tel: 09835057997 Mobile no.: 9835057997
Fax: Email: alokranjan2@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: CBSE affiliated School: DAV public school
City: Patna City: patna
English %: 85 Board Roll No./Seat No.: 22648841
Aggregate Percentage: 91 School/College Code: 65046
  Address of School/College: BSEB Colony Rd, Punaichak, Rajbansi Nagar
  Centre code:
  Pin: 800023
  Contact Nos:
  Email: davbsebpatna23@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 76 76
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 74.67
English 100 82 82
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: studing for entrance exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: because i have high interest in this field
Why do you wish to join TMI?: for higher education
What are your hobbies?: casual reading and gardening
What are your strengths?: i can learn from my mistake quickly
What are your weaknesses?: once I focus on one task i put all my effort on to the task
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

 

___________________

Date ________________

 
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