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.Sc. Nautical Science
Dossier ID: DEG2187681 Name: MAYANK SINGH
  Address: VILLAGE- BERUKA POST- JANSA P.S.- JANSA
Telephone No.: Mobile no: 9120431654
E-mail: mayanksinghvns21@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: 440256140
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187681 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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.Sc. Nautical Science
Dossier ID: DEG2187681
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MAYANK SINGH
Mother's Name: MEENA KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Dec 2003 Nationality: INDIAN
Place of Birth: VARANASI Personal Identification Mark: MOLE ON CHEST
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 11 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: VILLAGE- BERUKA POST- JANSA P.S.- JANSA
State: Uttar Pradesh Country: India
Pin: 221405 City/District: VARANASI
Mobile no: 9120431654 Telephone No. with STD code:
Aadhar Card No:856724309729 E-mail: mayanksinghvns21@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJAN KUMAR SINGH Relationship with candidate: FATHER
Parents Date of Birth: 05 Sep 1980 Parent's/Guardian's Occupation/Designation: INTERMEDIATE
   
Office Address:
   
Address: VILLAGE- BERUKA POST- JANSA P.S.- JANSA
Country: India State: Uttar Pradesh
City/District: VARANASI Pin: 221405
Tel: Mobile no.: 7080795534
Fax: Email: mayanksingh221405@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: DALIMSS SUNBEAM SCHOOL School: DALIMMS SUNBEAM SCHOOL
City: VARANASI City: VARANASI
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Address of School/College: ROHANIA VARANASI UP
  Centre code:
  Pin: 221108
  Contact Nos:
  Email: principal@dalimmssunbeam.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 ?: PREPARATION AND SELF STUDY.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: GET REPUTED GET CHANCE TO EXPLORE THE WORLD AND GET PAID HANDSOMELY.
Why do you wish to join TMI?: THIS REPUTED COLLEGE IN MARINE FIELD.
What are your hobbies?: VOLLEYBALL
What are your strengths?: HARD WORK.
What are your weaknesses?: NO
How do you intend to meet the expenses of this program?: Other - BUSINESS
 
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 ________________

 
Print Summary and Application Form