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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kshitij kumar kanojia
Mother's Name: Ritu kanojia
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Apr 2002 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: right hand index finger
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 02 Apr 2002 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: Plot no.4 Vrindavan vihar Kanhaiya nagar, near rainbow public school, Bahadurpur Kalyanpur, vikas nagar, Lucknow Plot no.4 Vrindavan vihar Kanhaiya nagar, near rainbow public school, Bahadurpur Kalyanpur, vikas nagar, Lucknow Plot no.4 Vrindavan vihar Kanhaiya nagar, near rainbow public school, Bahadurpur Kalyanpur, vikas nagar, Lucknow
State: Uttar Pradesh Country: India
Pin: 226022 City/District: Lucknow
Mobile no: 6387934390 Telephone No. with STD code:
Aadhar Card No:455138472555 E-mail: kshitij4579@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mukesh kumar kanojia Relationship with candidate: Father
Parents Date of Birth: 30 Nov 1972 Parent's/Guardian's Occupation/Designation: Government service
   
Office Address:
   
Address: Banthara post office, banthara bazar, Lucknow Banthara post office, banthara bazar, Lucknow Banthara post office, banthara bazar, Lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226401
Tel: Mobile no.: 9795268854
Fax: Email: mukeshsm1972@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Uttar Pradesh Board: ISCE
School: Lucknow Public College School: Saint antony inter college
City: Lucknow City: Lucknow
English %: 73 Board Roll No./Seat No.: 220812/046
Aggregate Percentage: 77 School/College Code: SAI512
  Address of School/College: Saint antony inter college, Jankipuram extension, Lucknow
  Centre code: SAI512
  Pin: 226031
  Contact Nos: 05222754879
  Email: antony.jankipuram@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 62 62
Chemistry 100 60 60
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 62.67
English 100 84 84
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
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 ________________

 
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