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: DEG2188029 Name: Siddharth Mishra
  Address: B-27 Bhaskar Enclave II Patrkar colony, Mansarovar
Telephone No.: Mobile no: 8696919213
E-mail: mishrasiddharth152@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: 440713393
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188029 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: DEG2188029
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Siddharth Mishra
Mother's Name: Sudha Mishra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Nov 2003 Nationality: Indian
Place of Birth: Varanasi Personal Identification Mark: no
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 22 Nov 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: B-27 Bhaskar Enclave II Patrkar colony, Mansarovar
State: Rajasthan Country: India
Pin: 302020 City/District: jaipur
Mobile no: 8696919213 Telephone No. with STD code:
Aadhar Card No:866697891836 E-mail: mishrasiddharth152@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Mishra Relationship with candidate: Father
Parents Date of Birth: 14 Apr 1980 Parent's/Guardian's Occupation/Designation: Private sector
   
Office Address:
   
Address: B-27 Bhaskar Enclave II Patrkar colony, Mansarovar
Country: India State: Rajasthan
City/District: jaipur Pin: 302020
Tel: Mobile no.: 8696919213
Fax: Email: mishrasiddharth152@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: St Anselm School: st anselm school
City: jaipur City: jaipur
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: ward 27, mansarovar sector 8, mansarovar
  Centre code:
  Pin: 302020
  Contact Nos: 9549379877
  Email: mishrasiddharth152@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
09/2019 air force ncc aeromodelling state second
07/2019 football school first
10/2019 badminton district fourth
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: reading books, working on physical fitness, participating in various sport activities, enhance my knowledge by exploring various subjects, travelling, indulging and learning various culinary skills
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Shipping crews and the intricate working of nautical machinery has been a fascinating subject for me since childhood moreover its intriguing and having this degree also means a way to travel world for a living and be productive member all the while pursuing my passion for it.
Why do you wish to join TMI?: TMI is one of the most prestigious and reputable institutions, this further provides an opportunity to learn from the best and sharpen and grow my own skillsets.
What are your hobbies?: athletics and sport activities, reading, travelling, cooking and culinary activities
What are your strengths?: Rationalist, Calm Temperament, adaptability to changing circumstances, Hard-Working
What are your weaknesses?: weak communicative skills, sometimes recalcitrant
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XIIĀ 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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