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: DEG2188480 Name: Shivansh Goyal
  Address: 359/16 West amber talab near vishwkarma chowk Roorkee
Telephone No.: Mobile no: 7300847326
E-mail: goyalshivansh77@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 441500620
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188480 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: DEG2188480
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shivansh Goyal
Mother's Name: Taru Goyal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Aug 2001 Nationality: Indian
Place of Birth: Roorkee Personal Identification Mark: cut mark on right eyebrow
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 23 Aug 2001 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Goyal Shivansh Passport No.: U4020173
Date of Expiry: 12 Aug 2030 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: 359/16 West amber talab near vishwkarma chowk Roorkee
State: Uttaranchal Country: India
Pin: 247667 City/District: Roorkee
Mobile no: 7300847326 Telephone No. with STD code:
Aadhar Card No:792597051966 E-mail: goyalshivansh77@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Taru Goel Relationship with candidate: Mother
Parents Date of Birth: 16 Aug 1978 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: padav junior school near fish market
Country: India State: Uttaranchal
City/District: Roorkee Pin: 247667
Tel: Mobile no.: 8077163164
Fax: Email: Tarugoel9897@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2019
Board: CBSE Board: Uttaranchal
School: A.S.A.S.V.M School: City public school
City: Roorkee City: Roorkee
English %: 66 Board Roll No./Seat No.: 19412529
Aggregate Percentage: 60 School/College Code: 077
  Address of School/College: Sot Street, Behind World Bank Colony Near Pahari bazar, Roorkee, Uttarakhand 247667
  Centre code: 01458
  Pin: 247667
  Contact Nos: 9012046862
  Email: goyalshivansh77@gmail.com
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 51 51
Chemistry 100 71 71
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 65.33
English 100 68 68
   
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
12/2017 Badminton National gold
01/2018 Badminton National NA
05/2018 Badminton National NA
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have done badminton trainningin that period of time
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: yes
Why do you wish to join TMI?: I wish to join TMI because this collage has good name in the feild of education and placement if this collage is better than other collage
What are your hobbies?: playing badminton
What are your strengths?: my analatical approch , my humun touch to the situation , appriciable communication .
What are your weaknesses?: self critical
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 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

 

___________________

Date ________________

 
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