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.Sc. Nautical Science Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2186823 Name: Anuj Negi
  Address: 237,tea estate banjarawala Dehradun
Telephone No.: Mobile no: 9412951738
E-mail: anujnegi1301@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 439262830
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186823 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.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2186823
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Anuj Negi
Mother's Name: Subdei Negi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jun 2003 Nationality: Indian
Place of Birth: Chamba Personal Identification Mark: a mole in right side of the stomach
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 01 Jun 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Anuj Negi Passport No.: U2410158
Date of Expiry: 23 Dec 2019 Place of Issue: Dehradun
(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: 237,tea estate banjarawala Dehradun
State: Uttaranchal Country: India
Pin: 248001 City/District: Dehradun
Mobile no: 9412951738 Telephone No. with STD code:
Aadhar Card No:285664595007 E-mail: anujnegi1301@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Bijender Singh Negi Relationship with candidate: Father
Parents Date of Birth: 21 Aug 1969 Parent's/Guardian's Occupation/Designation: private job
   
Office Address:
   
Address: 237,tea estate banjarawala Dehradun
Country: India State: Uttaranchal
City/District: Dehradun Pin: 248001
Tel: Mobile no.: 9412951738
Fax: Email: anujnegi1301@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Uttaranchal
School: St thomas college School: Max international school
City: Dehradun City: Dehradun
English %: 63 Board Roll No./Seat No.:
Aggregate Percentage: 60 School/College Code:
  Address of School/College: tea estate banjarawala Dehradun
  Centre code:
  Pin: 248001
  Contact Nos: 09412951738
  Email: anujnegi1301@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
07/2019 1500 m national Gold medal
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will give my best in practicing and studying for my goal and also i will give my some time to my hobbies.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because i want to have a good career in this field
Why do you wish to join TMI?: Because TMI will provide me the best platform to fullfill my dreams
What are your hobbies?: playing cricket
What are your strengths?: My mother and my passion to have a good career
What are your weaknesses?: I feel nervous in speaking infront of too Many people
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport 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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