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: DEG2187927 Name: Aadhyatm rawat
  Address: Vaishali Colony, Haripur Karnal Ward PO kathgodam
Telephone No.: 9634315277 Mobile no: 9634315277
E-mail: rawat.anne@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: 440493456
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187927 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: DEG2187927
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aadhyatm rawat
Mother's Name: Rekha Rawat
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Aug 2003 Nationality: Indian
Place of Birth: Haldwani Personal Identification Mark: None
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 21 Aug 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Aadhyatm rawat Passport No.: U3796542
Date of Expiry: 11 Apr 2031 Place of Issue: Dehradun
(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: Vaishali Colony, Haripur Karnal Ward PO kathgodam
State: Uttaranchal Country: India
Pin: 263126 City/District: Haldwani
Mobile no: 9634315277 Telephone No. with STD code: 9634315277
Aadhar Card No:427370483038 E-mail: rawat.anne@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Lalit Mohan Rawat Relationship with candidate: Father
Parents Date of Birth: 30 Dec 1961 Parent's/Guardian's Occupation/Designation: Sub Registrar
   
Office Address:
   
Address: Sub Registrar karyalaya Bageshwar
Country: India State: Uttaranchal
City/District: Bageshwar Pin: 263642
Tel: Mobile no.: 9837305108
Fax: Email: rawat.anne@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: CBSE
School: St Josephs College School: AVB Institute of learning
City: Nainital City: Haldwani
English %: 66 Board Roll No./Seat No.: 25623775
Aggregate Percentage: 78 School/College Code: 81420
  Address of School/College: Raja Rani Vihar Rd, Vasudevpuram, Niliam Colony, Haldwani, Uttarakhand
  Centre code: 8099
  Pin: 263139
  Contact Nos:
  Email: office@avbil.net
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 57 57
Mathematics 100 49 49
Physics, Chemistry & Mathematics combined Percentage: 60
English 100 75 75
   
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
2017 Swimming School Level Winner
2017 Football Inter School level Winner
2017 basketball Inters School level Winner
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for Higher Studies
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have always been interested in Outdoor work rather than office work choosing a course in nautical science will give me this opportunity.
Why do you wish to join TMI?: Its one of the best institutes for Nautical Science and has higher placement opportunity
What are your hobbies?: Swimming, Playing outdoor games
What are your strengths?: yet to discover
What are your weaknesses?: yet to discover
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form