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: DEG2187778 Name: Suryansh singh
  Address: Bhiwandi purna village deepraj residency
Telephone No.: Mobile no: 9527791092
E-mail: suryanshsingh4648@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1229 (Includes Convenience fee of ₹ 29.0 ) DD Number: -
Issuing Bank: - Transaction Id: 441564580
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187778 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.Sc. Nautical Science
Dossier ID: DEG2187778
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Suryansh singh
Mother's Name: Nutan singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 May 2004 Nationality: Indian
Place of Birth: Varanasi Personal Identification Mark: mole on left side of neck
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 25 May 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: Bhiwandi purna village deepraj residency
State: Maharashtra Country: India
Pin: 421302 City/District: Thane
Mobile no: 9527791092 Telephone No. with STD code:
Aadhar Card No: E-mail: suryanshsingh4648@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vikash singh Relationship with candidate: Uncle
Parents Date of Birth: 01 Jul 1983 Parent's/Guardian's Occupation/Designation: Manager
   
Office Address:
   
Address: Bhiwandi purna village Deepraj residency
Country: India State: Maharashtra
City/District: thane Pin: 421302
Tel: 9527791092 Mobile no.: 9527791092
Fax: Email: suryanshsingh4648@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: MJF public school School: SHVOV jr college
City: varanasi City: bhiwandi
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 54 School/College Code:
  Address of School/College: bhiwandi anjur phata
  Centre code:
  Pin: 421302
  Contact Nos: 9527791092
  Email: suryanshsingh4648@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
04/2015 football school level defender
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spent my all time in studies for cracking sponsorship exams and also spent mine time on my game football
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It will increase my knowledge and i will be placed in a good company too
Why do you wish to join TMI?: it is one of the most leading institue as it gives 90 percent assurance of placement so i wish join TMI
What are your hobbies?: playing football and chess
What are your strengths?: Am punctual and hardworking i dont leave my works on tomrrow
What are your weaknesses?: i feel very irritated when am not on time and if i cant do a work in given time i feel very ashamed
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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