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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2188562 Name: Modi Harshil Kaushikkumar
  Address: 2865,ayodhya nagar link road bharuch
Telephone No.: Mobile no: 9998843672
E-mail: modiharshil2865@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: 441440275
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188562 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2188562
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Modi Harshil Kaushikkumar
Mother's Name: Asmitaben kaushikkumar modi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 May 2004 Nationality: India
Place of Birth: Bharuch Personal Identification Mark: NA
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 25 May 2004 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Modi Harshil Kaushikkumar Passport No.: U3449111
Date of Expiry: 24 May 2022 Place of Issue: Ahmedabad
(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: 2865,ayodhya nagar link road bharuch
State: Gujarat Country: India
Pin: 392001 City/District: Bharuch
Mobile no: 9998843672 Telephone No. with STD code:
Aadhar Card No:251298145951 E-mail: modiharshil2865@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kaushikkumar k modi Relationship with candidate: father
Parents Date of Birth: 11 Jan 1971 Parent's/Guardian's Occupation/Designation: goverment employe
   
Office Address:
   
Address: Nagar palika Civil road bharuch
Country: India State: Gujarat
City/District: Bharuch Pin: 392001
Tel: Mobile no.: 9879230662
Fax: Email: modikaushikkumar2865@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Gujarat Board: Gujarat
School: Narayan Vidhyalaya Bharuch School: Narayan Vidhyalaya Bharuch
City: Bharuch City: Bharuch
English %: 68 Board Roll No./Seat No.: B 108994
Aggregate Percentage: 73 School/College Code: 1573
  Address of School/College: Laxmi Narayan Nagar bharuch
  Centre code:
  Pin: 392001
  Contact Nos:
  Email: modiharshill2865@gmail.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 102 68
Chemistry 150 104 69.33
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 67.11
English 100 69 69
   
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
08/2016 running school NA
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning new skills, Workout, Reading books, Listening music
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because i think this degree has it own pride and values, i also like adventirous things so this i think this will be a perfect career option for me.
Why do you wish to join TMI?: Because of its infrastructure and educational enviroment.
What are your hobbies?: Traveling, Listening music, Learning, Cooking
What are your strengths?: Great grasping power
What are your weaknesses?: Hand Writing
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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

 

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Date ________________

 
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