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: DEG2190865 Name: MADHAV CHAWLA
  Address: 20 PUNEET VIHAR EXTENSION NEAR SHEKHAR RESIDENCY PASCHIMPURI SIKANDRA AGRA
Telephone No.: Mobile no: 9634565444
E-mail: madhavchawla2002@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: 13588849479
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190865 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: DEG2190865
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MADHAV CHAWLA
Mother's Name: MAMTA CHAWLA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Aug 2002 Nationality: INDIAN
Place of Birth: AGRA Personal Identification Mark: ONLY SHOULDER
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 09 Aug 2002 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : MADHAV CHAWLA Passport No.: U3907532
Date of Expiry: 21 Feb 2031 Place of Issue: GHAZIABAD
(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: 20 PUNEET VIHAR EXTENSION NEAR SHEKHAR RESIDENCY PASCHIMPURI SIKANDRA AGRA
State: Uttar Pradesh Country: India
Pin: 282007 City/District: AGRA
Mobile no: 9634565444 Telephone No. with STD code:
Aadhar Card No:487729080374 E-mail: madhavchawla2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHYAM CHAWLA Relationship with candidate: FATHER
Parents Date of Birth: 31 Jul 1971 Parent's/Guardian's Occupation/Designation: GOVT SERVICE
   
Office Address:
   
Address: ELECTION OFFICE COLLECTORATE ROAD AGRA
Country: India State: Uttar Pradesh
City/District: AGRA Pin: 282010
Tel: Mobile no.: 9411603786
Fax: Email: shyamchawla1971@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DR MARIA RESIDENTIAL ACADEMY School: DR MARIA RESIDENTIAL ACADEMY
City: AGRA City: AGRA
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Address of School/College: NEAR PASCHIMURI SHASTRIPURAM AGRA
  Centre code:
  Pin: 282007
  Contact Nos:
  Email: mdixit.488@rediffmail.com
  Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 79 79
Chemistry 100 74 74
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 75.67
English 100 92 92
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: IN THIS TIME I WILL DEVELOP MY SKILLS
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: SCHOPE OF BSC NAUTICAL SCIENCE IS VERY WIDE AFTER GRADUATION I CAN GO ONBOARD AND SAIL
Why do you wish to join TMI?: TOLANI MARITIME INSTITUTION IS ONE OF THE LARGEST MARITIME EDUCATIONAL CENTERS OFFERING MARINE ENGINEERING AND NAUTICAL SCIENCE DEGREE PROGRAM.
What are your hobbies?: MY HOBBIES IS TO PLAYING FOOTBALL AND DOING GYM
What are your strengths?: ABILITY TO WORK IN A TEAM
What are your weaknesses?: SOFT SKILL
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport 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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