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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2187578 Name: HARSH KUMAR
  Address: PROGRESSIVE ENGLISH SCHOOL MAKHNIA KUAN ROAD , NAGAR NAUSHA KOTHI GYAN PEETH GALI , PATNA -04 , BIHAR .
Telephone No.: 06123553666 Mobile no: 7061477703
E-mail: harshkr2212@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 440137012
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187578 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2187578
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HARSH KUMAR
Mother's Name: SHILPEE KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Dec 2003 Nationality: INDIAN
Place of Birth: PATNA Personal Identification Mark: BLACK MOLE ON RIGHT ELBOW
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 22 Dec 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: PROGRESSIVE ENGLISH SCHOOL MAKHNIA KUAN ROAD , NAGAR NAUSHA KOTHI GYAN PEETH GALI , PATNA -04 , BIHAR .
State: Bihar Country: India
Pin: 800004 City/District: Patna
Mobile no: 7061477703 Telephone No. with STD code: 06123553666
Aadhar Card No:6139 5459 4808 E-mail: harshkr2212@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MANOJ KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 14 Nov 1967 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: BOKARO STUDENTS FRIEND PVT. LTD. ANNPURNA COMPLEX , NAYA TOLA PATNA - 04 , BIHAR .
Country: India State: Bihar
City/District: PATNA Pin: 800004
Tel: Mobile no.: 9234634706
Fax: Email: manojkr967@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: ST. XAVIER HIGH SCHOOL School: MODERN SCHOOL
City: Patna City: PATNA
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: VINOBHA NAGAR,YADAV COLONY ,DIGHA ,PATNA
  Centre code:
  Pin: 800011
  Contact Nos: 9835259231
  Email: modern_school21@yahoo.co.in
  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 ?: PREPRATION FOR ENTRANCE EXAMINATION
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: SELF INTREST AND SECURED BRIGHT FUTURE
Why do you wish to join TMI?: PROMINENT INSTITUTE FOR MARINE ENGINEERING
What are your hobbies?: TRAVELLING , READING BOOKS , SWIMMING
What are your strengths?: DEAL WITH DIFFICULT SITUATION EASILY , MULTI TASKER , GOOD LEADERSHIP QUALITY WITH TIME MANAGEMENT ABILITY, GOOD LISTNER
What are your weaknesses?: CANNOT TOLERATE LIES
How do you intend to meet the expenses of this program?: Own Resources
 
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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