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: DEG2188775 Name: ashmit dubey
  Address: FLAT NO 520, BLOCK-C ROHINI HEIGHTS ,ROHINI SECTOR 29,NEW DELHi
Telephone No.: Mobile no: 9868878227
E-mail: skdubey_1966@rediffmail.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: 441323552
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188775 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DEG2188775
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ashmit dubey
Mother's Name: kalpana dubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Nov 2001 Nationality: Indian
Place of Birth: DELHI Personal Identification Mark: MOLE ON LEFT FOREARM
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 11 Nov 2001 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: FLAT NO 520, BLOCK-C ROHINI HEIGHTS ,ROHINI SECTOR 29,NEW DELHi
State: Delhi Country: India
Pin: 110042 City/District: DELHI
Mobile no: 9868878227 Telephone No. with STD code:
Aadhar Card No:992067697135 E-mail: skdubey_1966@rediffmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: shiv kumar dubey Relationship with candidate: father
Parents Date of Birth: 20 Oct 1966 Parent's/Guardian's Occupation/Designation: service
   
Office Address:
   
Address: department of technical education pitampura new delhi
Country: India State: Delhi
City/District: delhi Pin: 110034
Tel: Mobile no.: 9868878227
Fax: Email: skdubey_1966@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: kulachi hansraj model school School: kulachi hansraj model school
City: delhi City: delhi
English %: 87 Board Roll No./Seat No.: 26615149
Aggregate Percentage: 90 School/College Code: 85162
  Address of School/College: Ashok Vihar Phase 3, Delhi, New Delhi, Delhi
  Centre code: 8546
  Pin: 110052
  Contact Nos:
  Email: info@khms.ac.in
  Aggregate Percentage: 91
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 91 91
Chemistry 100 91 91
Mathematics 100 90 90
Physics, Chemistry & Mathematics combined Percentage: 90.67
English 100 94 94
   
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
06/2013 CRICKET INTER HOUSE 1
06/2014 CRICKET INTER HOUSE 1
09/2016 CRICKET INTER HOUSE 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: WITH FAMILY AND DISCOVERING NEW PLACES
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: ADVENTURE
Why do you wish to join TMI?: I WANT TO BECOME A MARINE ENGINEER
What are your hobbies?: CRICKET,FOOTBALL
What are your strengths?: HIGH CONCENTRATION,MOTIVATED TOWARDS GOAL
What are your weaknesses?: EAT MORE JUNK FOOD
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 Class XII marksheet
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form