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: DEG2187633 Name: Shashank Tiwari
  Address: 548 S/208 RDSO Gurudwara Near Pal AAta Chakki,Dhaindha Khera Surya Nagar Mankanagar, Lucknow
Telephone No.: Mobile no: 7651985245
E-mail: shashank1234royal@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 440480323
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187633 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: DEG2187633
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shashank Tiwari
Mother's Name: Reena Tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Mar 2004 Nationality: Indian
Place of Birth: India Personal Identification Mark: Til on nose
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 23 Mar 2004 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: 548 S/208 RDSO Gurudwara Near Pal AAta Chakki,Dhaindha Khera Surya Nagar Mankanagar, Lucknow
State: Uttar Pradesh Country: India
Pin: 226011 City/District: Lucknow
Mobile no: 7651985245 Telephone No. with STD code:
Aadhar Card No:224898187466 E-mail: shashank1234royal@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Virendra Tiwari Relationship with candidate: Father
Parents Date of Birth: 20 Dec 1976 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 548 S/208 RDSO Gurudwara Near Pal AAta Chakki,Dhaindha Khera Surya Nagar,Mankanagar, Lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226011
Tel: Mobile no.: 9415542076
Fax: Email: verandahtiwari1976@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: City Montessori school School: Lucknow public college
City: Lucknow City: Lucknow
English %: 78 Board Roll No./Seat No.: 6846859
Aggregate Percentage: 79 School/College Code: UP132
  Address of School/College: -70, Karbala Rd, Block A, Rajajipuram, Lucknow, Uttar Pradesh
  Centre code: 2213924
  Pin: 226017
  Contact Nos:
  Email: principal_ab@lpsc.co.in
  Aggregate Percentage: 81
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 76 76
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 78.33
English 100 85 85
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By spending time with parents
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is a good option for everyone who wish to pursue merchant navy as carrier
Why do you wish to join TMI?: Because of its placement and teaching methods
What are your hobbies?: Playing cricket
What are your strengths?: Hardwork
What are your weaknesses?: Stage
How do you intend to meet the expenses of this program?: Own Resources,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
 
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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