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: DEG2191974 Name: Mayank Dubey
  Address: Vill. Nigoh khas Chhibramau
Telephone No.: 07880854156 Mobile no: 7880854156
E-mail: mayankdubeymayankdubey248@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2191974 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DEG2191974
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mayank Dubey
Mother's Name: Puja Dubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Jul 2004 Nationality: Indian
Place of Birth: Chhibramau Personal Identification Mark: A spot under left moustache
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 28 Jul 2004 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: Vill. Nigoh khas Chhibramau
State: Uttar Pradesh Country: India
Pin: 209721 City/District: Kannauj
Mobile no: 7880854156 Telephone No. with STD code: 07880854156
Aadhar Card No:490197032691 E-mail: mayankdubeymayankdubey248@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Puja Dubey Relationship with candidate: Mother
Parents Date of Birth: 01 Jan 1978 Parent's/Guardian's Occupation/Designation: Housewife
   
Office Address:
   
Address: Vill. Nigoh khas Chhibramau
Country: India State: Uttar Pradesh
City/District: Kannauj Pin: 209721
Tel: 07880854156 Mobile no.: 7880854156
Fax: Email: mayankdubeymayankdubey248@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Subhash Academy School: Subhash Academy
City: Chhibramau City: Chhibramau
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Address of School/College: Farrukhabad road, chhibramau kannaujj
  Centre code:
  Pin: 209721
  Contact Nos: 07880854156
  Email: mayankdubeymayankdubey248@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2018 Long jump School level competition 3 rank
12/2019 Long jump School level competition 2 rank
12/2018 Shuttle run School level competition 2 rank
12/2019 Shuttle run School level competition 2 rank
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will spend this time in preparing myself for the upcoming environment and opportunities and will try to do some homework like basic knowledge,etc. before joining the college.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes . I have done through research on myself about it.
Why do you wish to join TMI?: Because it is the university that can meet my potential and can help me to make my career bright.
What are your hobbies?: Daydreaming, playing football
What are your strengths?: Punctuality, discipline and my versatile nature..
What are your weaknesses?: Money
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 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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