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: DEG2188612 Name: Paramjeet Prashant Gujwar
  Address: Yogendra nagar police line takli near durga Mata mandir shivaji Chowk plot no. 134 Harankhuri katol Yogendra nagar police line near shivaji chowk plot no 134
Telephone No.: 9325481482 Mobile no: 7249581482
E-mail: paramjeetgujwar@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 441302124
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188612 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: DEG2188612
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Paramjeet Prashant Gujwar
Mother's Name: Pramila gujwar
Gender (M/F): Male Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 07 Aug 2003 Nationality: Indian
Place of Birth: Nagpur Personal Identification Mark: Mole on left shoulder
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 07 Aug 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Married
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: Yogendra nagar police line takli near durga Mata mandir shivaji Chowk plot no. 134 Harankhuri katol Yogendra nagar police line near shivaji chowk plot no 134
State: Maharashtra Country: India
Pin: 440013 City/District: Nagpur
Mobile no: 7249581482 Telephone No. with STD code: 9325481482
Aadhar Card No:714551142243 E-mail: paramjeetgujwar@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: prashant gujwar Relationship with candidate: father
Parents Date of Birth: 24 Jun 1996 Parent's/Guardian's Occupation/Designation: bussiness
   
Office Address:
   
Address: yogendra nagar shivaji chowk plot no 134 yogendra nagar near durga mata mandir plot no 134
Country: India State: Maharashtra
City/District: nagpur Pin: 440013
Tel: 7249581482 Mobile no.: 7249581482
Fax: Email: prashantgujwar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: bharti krishna vidya vihar School: sakya juniour collage
City: nagpur City: nagpur
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 68 School/College Code:
  Address of School/College: sakya juniour collage jaripatka nara road
  Centre code:
  Pin: 440014
  Contact Nos: 8956654431
  Email: paramjeetgujwar@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
10/2019 basketball school level 1
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2021 jog 2 years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: no
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: yes no doughts about it
Why do you wish to join TMI?: yes
What are your hobbies?: jogging
What are your strengths?: good at searching solutions to any problem
What are your weaknesses?: cant lose my personality at any cost
How do you intend to meet the expenses of this program?: Other - family members
 
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card 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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