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: DEG2190382 Name: harshvardhan singh bisht
  Address: 94-vaibhav colony,gali no.6,lohariyasal talla, unchapul,haldwani,263139
Telephone No.: 08979339469 Mobile no: 8979339469
E-mail: ishub9287@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: 13535539201
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190382 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: DEG2190382
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: harshvardhan singh bisht
Mother's Name: uma bisht
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Sep 2003 Nationality: Indian
Place of Birth: haldwani Personal Identification Mark: NO
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 21 Sep 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : harshvardhan singh bisht Passport No.: U3796080
Date of Expiry: 06 Apr 2031 Place of Issue: DEHRADUN
(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: 94-vaibhav colony,gali no.6,lohariyasal talla, unchapul,haldwani,263139
State: Uttaranchal Country: India
Pin: 263139 City/District: HALDWANI
Mobile no: 8979339469 Telephone No. with STD code: 08979339469
Aadhar Card No:830335892471 E-mail: ishub9287@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: anil singh bisht Relationship with candidate: father
Parents Date of Birth: 02 Jun 1972 Parent's/Guardian's Occupation/Designation: business
   
Office Address:
   
Address: 94-vaibhav colony,gali no.6,lohariyasal talla unchapul,haldwani,263139
Country: India State: Uttaranchal
City/District: HALDWANI Pin: 263139
Tel: 08979339469 Mobile no.: 9412040078
Fax: Email: ishab31@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: BLM academy School: inspiration public school
City: HALDWANI City: haldwani
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Address of School/College: NH-87,naveen nagar,haldwani,uttarakhand
  Centre code:
  Pin: 263139
  Contact Nos:
  Email: ishab31@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i ams pending my time in making myself fit as the saying goes health is wealth
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i have an interest for merchant navy which will help me grow financially and professionally in a short time.
Why do you wish to join TMI?: i want to fulfill my parents desire.
What are your hobbies?: taekwondo,basketball,football,swimming
What are your strengths?: dedication,team spirit
What are your weaknesses?: i overburden myself with work
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate 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 ________________

 
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