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: DEG2187394 Name: RISHABH MISHRA
  Address: BEHIND CIRCUIT HOUSE WARD NO. - 39 BESIDE SUNIL AGRAWAL CLINIC CHHATARPUR MP
Telephone No.: Mobile no: 8077655630
E-mail: rishabhmishra471001@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 441043166
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187394 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: DEG2187394
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RISHABH MISHRA
Mother's Name: SAROJ MISHRA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Sep 2001 Nationality: INDIAN
Place of Birth: CHHATARPUR Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: AB -  
 
Date of Birth (DD/MM/YY): 04 Sep 2001 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: BEHIND CIRCUIT HOUSE WARD NO. - 39 BESIDE SUNIL AGRAWAL CLINIC CHHATARPUR MP
State: Madhya Pradesh Country: India
Pin: 471001 City/District: CHHATARPUR
Mobile no: 8077655630 Telephone No. with STD code:
Aadhar Card No:456258852321 E-mail: rishabhmishra471001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SAROJ MISHRA Relationship with candidate: MOTHER
Parents Date of Birth: 10 Sep 1978 Parent's/Guardian's Occupation/Designation: NONE
   
Office Address:
   
Address: BEHIND CIRCUIT HOUSE WARD NO. - 39 BESIDE SUNIL AGRAWAL CLINIC CHHATARPUR MP
Country: India State: Madhya Pradesh
City/District: CHHATARPUR Pin: 471001
Tel: Mobile no.: 9302062177
Fax: Email: rishabhmishra471001@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: ISCE Board: CBSE
School: CHRISTIAN ENGLISH COLLEGE CHHATARPUR School: MAHARISHI VIDHYA MANDIR
City: CHHATARPUR City: CHHATARPUR
English %: 83 Board Roll No./Seat No.: 1693762
Aggregate Percentage: 84 School/College Code: 1030078
  Address of School/College: DERI ROAD CHHATARPUR MP
  Centre code: 471001
  Pin: 471001
  Contact Nos:
  Email: mvmchhatarpur@mssmail.org
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 76 76
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 76.33
English 100 88 88
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARING FOR DEFFENCE EXAM
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES
Why do you wish to join TMI?: TO EXPLORE THE WORLD
What are your hobbies?: SNOOKER SCATTING SWIMMING
What are your strengths?: DISSICPLINED PHYSICAL ACTIV
What are your weaknesses?: TO SPEAK LIE
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

 

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Date ________________

 
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