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: DEG2190859
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HARSHVARDHAN SINGH SHEKHAWAT
Mother's Name: ANJU SHEKHAWAT
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Mar 2002 Nationality: INDIAN
Place of Birth: JODHPUR Personal Identification Mark: MOLE ON FACE
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 21 Mar 2002 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: D 62 SARASWATI NAGAR BASNI 1ST PHASE JODHPUR
State: Rajasthan Country: India
Pin: 342005 City/District: JODHPUR
Mobile no: 6377678279 Telephone No. with STD code:
Aadhar Card No:883594317630 E-mail: harshvardhansinghshekhawat61@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SURENDRA SINGH SHEKHAWAT Relationship with candidate: FATHER
Parents Date of Birth: 01 Jul 1967 Parent's/Guardian's Occupation/Designation: BUSSINESS
   
Office Address:
   
Address: D 62 SARASWATI NAGAR BASNI 1ST PHASE JODHPUR
Country: India State: Rajasthan
City/District: JODHPUR Pin: 342005
Tel: Mobile no.: 9413867936
Fax: Email: shekhawatanju979@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Rajasthan Board: Rajasthan
School: CAMBRIDGE PUBLIC SR SEC SCHOOL JODHPUR School: CAMBRIDGE PUBLIC SR SEC SCHOOL JODHPUR
City: JODHPUR City: JODHPUR
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 55 School/College Code:
  Address of School/College: BHAGAT KI KOTHI JODHPUR
  Centre code:
  Pin: 342005
  Contact Nos:
  Email: SHEKHAWATANJU979@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 ?: READING NOVALS AND PLAYING BASKETBALL
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES
Why do you wish to join TMI?: FOR SAFE LIFE
What are your hobbies?: BASKETBALL
What are your strengths?: COMMUNICATION
What are your weaknesses?: NO WEAKNESSES
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________