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.Sc. Nautical Science
Dossier ID: DEG2189532 Name: DHAIRYA SHARMA
  Address: House No. 100, Patel Nagar Railway Harthala Colony, Moradabad
Telephone No.: 09897180172 Mobile no: 9897180172
E-mail: dhairya2003sharma@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: 13542038081
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2189532 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2189532
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: DHAIRYA SHARMA
Mother's Name: Santosh Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Mar 2003 Nationality: Indian
Place of Birth: Moradabad Personal Identification Mark: Injury marks over both eyebrows
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 01 Mar 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: House No. 100, Patel Nagar Railway Harthala Colony, Moradabad
State: Uttar Pradesh Country: India
Pin: 244001 City/District: Moradabad
Mobile no: 9897180172 Telephone No. with STD code: 09897180172
Aadhar Card No:365089055655 E-mail: dhairya2003sharma@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Kumar Sharma Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1964 Parent's/Guardian's Occupation/Designation: Ex- IAF
   
Office Address:
   
Address: House No. 100, Patel Nagar Railway Harthala Colony, Moradabad
Country: India State: Uttar Pradesh
City/District: Moradabad Pin: 244001
Tel: 09897180172 Mobile no.: 9456057640
Fax: Email: sanjaysantosh001@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya School: Kendriya Vidyalaya
City: Moradabad City: Moradabad
English %: 90 Board Roll No./Seat No.: 25645020
Aggregate Percentage: 89 School/College Code: 84041
  Address of School/College: Railway Harthala Colony, Moradabad
  Centre code: 8197
  Pin: 244001
  Contact Nos:
  Email: kvmbdup@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 88 88
Chemistry 100 71 71
Mathematics 100 67 67
Physics, Chemistry & Mathematics combined Percentage: 75.33
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
06/2019 Speed Skating KVS National Games 4th
05/2019 Speed Skating KVS Regional Games 1st
11/2016 Project Presentation Regional Social Science Exibition And National Integration Camp 6th
09/2017 Hindi Debate Cluster Level KVS Social Science Exibition 3rd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning Guitar, Preparing for NDA examination, Playing the pre learnt music instruments, playing football
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: The degree will provide me an experience similar to the defence services.
Why do you wish to join TMI?: TMI will give me the right exposure to polish my personality and enhance my skills in the field of Navy.
What are your hobbies?: Playing Music, Reading Books, Travelling.
What are your strengths?: Highly Adaptive, Socialise Easily, Good Sence of humour.
What are your weaknesses?: Low arm strength, over friendly.
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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

 

___________________

Date ________________

 
Print Summary and Application Form