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.Tech. Marine Engineering
Dossier ID: DEG2186962 Name: Piyush Singh
  Address: Plot no-7 Jarauli phase-1 Kanpur,India
Telephone No.: +919451345527 Mobile no: 9451345527
E-mail: peeyusshsingh468@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186962 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.Tech. Marine Engineering
Dossier ID: DEG2186962
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Piyush Singh
Mother's Name: Neetu Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2003 Nationality: Indian
Place of Birth: Rai barelli Personal Identification Mark: Mole on chest
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 12 Mar 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: Plot no-7 Jarauli phase-1 Kanpur,India
State: Uttar Pradesh Country: India
Pin: 208027 City/District: Kanpur
Mobile no: 9451345527 Telephone No. with STD code: +919451345527
Aadhar Card No:484478572579 E-mail: peeyusshsingh468@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Neetu Singh Relationship with candidate: None
Parents Date of Birth: 01 May 1996 Parent's/Guardian's Occupation/Designation: Government sevice
   
Office Address:
   
Address: Plot no-7 Jarauli phase-1 Kanpur.
Country: India State: Uttar Pradesh
City/District: Kanpur Nagar Pin: 208027
Tel: Mobile no.: 9198501572
Fax: Email: peeyusshsingh468@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: The Chintels School School: The Chintels School
City: Kanpur Nagar City: Kanpur Nagar
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Address of School/College: Plot no-7 Jarauli phase-1 Kanpur.
  Centre code:
  Pin: 208027
  Contact Nos: 9451345527
  Email: peeyusshsingh468@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
08/2016 Football District Semi finalist
08/2017 Football District Semi finalist
08/2018 Football State Semi finalist runner up
07/2019 Basketball District Semi finalist
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will keep Preparing for the entrance exam to get selected in the college as soon as possible and then get ready for the new enthusiastic college life.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes I think it is a good degree to work in merchant navy which is my main aim.
Why do you wish to join TMI?: I wish to join TMI due to the successful alumni of the college who are living their best lives after achieving their dream.
What are your hobbies?: Playing sports, listening to music,and reading books.
What are your strengths?: I think I am a smart hardworking man who would work hard to get a successful life and career
What are your weaknesses?: I take more than expected time in getting settled in new environment.
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 ________________

 
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