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.Sc. Nautical Science
Dossier ID: DEG2190064 Name: SARTHAK DWIVEDI
  Address: 587A 675 B BLOCK Gandhi Nagar TELIBAGH LUCKNOW
Telephone No.: Mobile no: 6388451388
E-mail: saathi.0306@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: 13672613295
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190064 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.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2190064
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SARTHAK DWIVEDI
Mother's Name: ASHA DWIVEDI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Jun 2003 Nationality: INDIAN
Place of Birth: Lucknow Personal Identification Mark: CUT MARK IN LEFT HAND
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 03 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: 587A 675 B BLOCK Gandhi Nagar TELIBAGH LUCKNOW
State: Uttar Pradesh Country: India
Pin: 226029 City/District: Lucknow
Mobile no: 6388451388 Telephone No. with STD code:
Aadhar Card No:217188444934 E-mail: saathi.0306@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANJEEV DWIVEDI Relationship with candidate: FATHER
Parents Date of Birth: 14 Jul 1975 Parent's/Guardian's Occupation/Designation: RETIRED FROM ARMY
   
Office Address:
   
Address: RECORD OFFICE AHMED NAGAR MAHARASHTRA
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226025
Tel: Mobile no.: 6388451388
Fax: Email: saathi.0306@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Uttar Pradesh Board: Uttar Pradesh
School: THE MILLENNIUM SCHOOL School: LUCKNOW PUBLIC SCHOOL
City: Lucknow City: Lucknow
English %: 82 Board Roll No./Seat No.: 23679875
Aggregate Percentage: 81 School/College Code: 70968
  Address of School/College: A - Block, Raibareli Rd, South City, Lucknow, Uttar Pradesh
  Centre code:
  Pin: 226025
  Contact Nos: 6388451388
  Email: saathi.0306@gmail.com
  Aggregate Percentage: 74
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 75 75
Mathematics 100 48 48
Physics, Chemistry & Mathematics combined Percentage: 65.33
English 100 83 83
   
IMU CET Application Number: CET21U1003620  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARING FOR COLLEGE EDUCATION
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: IT WILL GIVE ME CHANCES TO EXPLORE SEA AND NEW PLACES
Why do you wish to join TMI?: IT WILL GIVE ME ALL THE OPPORTUNITIES TO EXCELL
What are your hobbies?: LISTENING SONG
What are your strengths?: DETERMINATION
What are your weaknesses?: I CANT SAY NO TO ANYONE
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 not uploaded Class XII marksheet
 
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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