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: DEG2187420
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Nikhil Verma
Mother's Name: NEELAM VERMA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jul 2002 Nationality: INDIAN
Place of Birth: LUCKNOW Personal Identification Mark: A MOLE IN LEFT HAND
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 15 Jul 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: AZAD NAGAR HARDOI near bima bihar colony azad nagar near pwd office
State: Uttar Pradesh Country: India
Pin: 241001 City/District: Hardoi
Mobile no: 9120211123 Telephone No. with STD code:
Aadhar Card No:532893341058 E-mail: nikhilv21972@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JAGESHWAR PRASAD Relationship with candidate: FATHER
Parents Date of Birth: 25 Jul 1972 Parent's/Guardian's Occupation/Designation: GOVERMENT OFFICER
   
Office Address:
   
Address: azad nagar azad nagar near pwd office
Country: India State: Uttar Pradesh
City/District: hardoi Pin: 241001
Tel: 09565221182 Mobile no.: 9839842898
Fax: Email: nikhilv21972@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: NEW HEIGHTS SCHOOL School: NA
City: hardoi City: hardoi
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Address of School/College: NA
  Centre code:
  Pin: 241001
  Contact Nos: 9120211123
  Email: nikhilv21972@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: TO KNOW MORE ABOUT THE LIFESTYLE AT SEA
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BECAUSE ITS MY DREAM TO TRAVEL ARROUND THE WORLD. TO KNOW THE DIFFRENT CULTURES.
Why do you wish to join TMI?: BECAUSE ITS BEST IN ALL.
What are your hobbies?: PLAYING CRICKET, COMPOSING SONG AND POEMS
What are your strengths?: MENTLY STRONG IN ANY SITUATION
What are your weaknesses?: NOT ABLE TO SING,
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

 

___________________

Date ________________