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: DEG2188744
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Jay Ram Singh
Mother's Name: Runa Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jul 2002 Nationality: Indian
Place of Birth: Nayanagar Personal Identification Mark: Cut mark on chin
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 15 Jul 2002 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: Village-Nayanagar, Post-Nayanagar Block-Hasanpur, Dist-Samastipur Pin-848208
State: Bihar Country: India
Pin: 848208 City/District: Samastipur
Mobile no: 7061975385 Telephone No. with STD code:
Aadhar Card No:321965246974 E-mail: sunny768nwc@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kanhaiya Singh Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1974 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Village-Nayanagar Post-Nayanagar, Block-Hasanpur Dist-Samastipur,Pin-848208
Country: India State: Bihar
City/District: Samastipur Pin: 848208
Tel: Mobile no.: 9709629578
Fax: Email: sunny768nwc@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Sainik School Gopalganj School: DMP Holy Mission School
City: Samastipur City: Rosera
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Address of School/College: Rosera Dist-Samastipur State-Bihar
  Centre code:
  Pin: 848210
  Contact Nos:
  Email: dmphms@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
06/2016 Football State 3rd
06/2016 Hindi Debate State 2nd
06/2017 Mountaineering National 1st
12/2019 Anchoring National 2nd
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2017 Mountaineering 15 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to use it as a base building platform for the subject and carrier I will be choosing ahead
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I always had a great interest in exploring the seas and oceans. This degree will give me an upper hand to understand the things well and further conquering ahead.
Why do you wish to join TMI?: It has a great combination of financial earnings and adventure.Besides,it gives you an opportunity to see the whole world.
What are your hobbies?: Singing, Writing Poems
What are your strengths?: All rounder,Good oratory skills, leadership
What are your weaknesses?: Bad handwriting
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 not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________