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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VIVEK CHAUHAN
Mother's Name: RASHMI CHAUHAN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Aug 2003 Nationality: INDIA
Place of Birth: AMRITSAR Personal Identification Mark: MOLE ON RIGHT CHEEK
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 01 Aug 2003 Nationality: INDIA
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: 721,GODWIN ESTATE SOFIPUR
State: Uttar Pradesh Country: India
Pin: 250001 City/District: MEERUT
Mobile no: 8171948524 Telephone No. with STD code: 8171948524
Aadhar Card No:374805401452 E-mail: a79c5.pvt@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RASHMI CHAUHAN Relationship with candidate: MOTHER
Parents Date of Birth: 01 Apr 1979 Parent's/Guardian's Occupation/Designation: HOUSE WIFE
   
Office Address:
   
Address: 721,GODWIN ESTATE SOFIPUR
Country: India State: Uttar Pradesh
City/District: MEERUT Pin: 250001
Tel: 9411688957 Mobile no.: 8218726698
Fax: Email: VIVEKO17935@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: THE KUBER PUBIC SCHOOL School: THE KUBER PUBLIC SCHOOL
City: MEERUT City: MEERUT
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Address of School/College: THE KUBER PUBLIC SCHOOL ROORKEE ROAD MEERUT UP
  Centre code:
  Pin: 250001
  Contact Nos: 9837743468
  Email: RENU.SHRAMA58@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 ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
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

 

___________________

Date ________________

 
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