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: DEG2189482 Name: Aniket Gautam
  Address: C27/273/8B, DAS NAGAR COLONY, LAHURABIR,VARANASI
Telephone No.: Mobile no: 8604343262
E-mail: gautamaniket2703@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13595992205
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2189482 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: DEG2189482
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aniket Gautam
Mother's Name: Madhuri Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Jun 2003 Nationality: Indian
Place of Birth: VARANASI Personal Identification Mark: a mole in face and a scar in left hand
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 27 Jun 2003 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: C27/273/8B, DAS NAGAR COLONY, LAHURABIR,VARANASI
State: Uttar Pradesh Country: India
Pin: 221001 City/District: VARANASI
Mobile no: 8604343262 Telephone No. with STD code:
Aadhar Card No: E-mail: gautamaniket2703@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Amrendra Pratap Singh Relationship with candidate: Father
Parents Date of Birth: 27 Nov 1968 Parent's/Guardian's Occupation/Designation: Buissnesman
   
Office Address:
   
Address: C27/273/8B, DAS NAGAR COLONY, LAHURABIR,VARANASI
Country: India State: Uttar Pradesh
City/District: VARANASI Pin: 221001
Tel: 07905580017 Mobile no.: 7905580017
Fax: Email: amrendrasingh219@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: ST JOHNS SCHOOL MARHAULI School: ST JOHNS SCHOOL MARHAULI
City: VARANASI City: VARANASI
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Address of School/College: ST JOHNS SCHOOL MARHAULI , BHOOLANPUR, VARANASI
  Centre code:
  Pin: 221108
  Contact Nos: 2370387
  Email: info@domain.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
11/2017 NSO INTERNATIONAL 690
11/2018 NSO INTERNATIONAL 712
10/2017 IMO INTERNATIONAL 4136
10/2017 IEO INTERNATIONAL 1131
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to spend these days by contacting my brother and uncle who are marine engineers and learn everything about marine engineering from them and also prepare for the upcoming entrance exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have always been interested in machines and in there mechanisms and from the start i had developed an habit of opening them seeing whats inside it thats making it do this. And when my brother showed me a video about the ship he was going to board for his training course it fascinated me the working system of the ship its mechanisms and the engine room . I was very exited about this and plus I also like to Travel and visiting foreign countries is kind of a dream of mine
Why do you wish to join TMI?: I wish to join this institute because only top class candidates join TMI and I had like to be in an environment where all my peers are top-notch so that i can learn from them and also increase my own level.
What are your hobbies?: Travelling and Listening Music
What are your strengths?: Respectfulness Dedication Friendly
What are your weaknesses?: Self - Critic and Self - Confidence
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

 

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Date ________________

 
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