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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2192607 Name: VIKRAM SRIVASTAVA
  Address: PLOT 391 H.NO. 645A/628 JANKIVIHAR COLONY JANKIPURAM LUCKNOW
Telephone No.: Mobile no: 8756870591
E-mail: imperialvikram2003@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: 13695664133
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2192607 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2192607
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VIKRAM SRIVASTAVA
Mother's Name: ALKA SRIVASTAVA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Jan 2003 Nationality: INDIAN
Place of Birth: MORADABAD Personal Identification Mark: NONE
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 26 Jan 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : VIKRAM SRIVASTAVA 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: PLOT 391 H.NO. 645A/628 JANKIVIHAR COLONY JANKIPURAM LUCKNOW
State: Uttar Pradesh Country: India
Pin: 226021 City/District: LUCKNOW
Mobile no: 8756870591 Telephone No. with STD code:
Aadhar Card No:906051961953 E-mail: imperialvikram2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AJEET KUMAR SRIVASTAVA Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1996 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: PLOT 391 H NO. 645A/628 JANKI VIHAR COLONY JANKI PURAM LUCKNOW
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226021
Tel: Mobile no.: 9450905421
Fax: Email: ajeetksrvst19@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: MAHARAJA AGRASEN PUBLIC SCHOOL School: MAHARAJA AGRASEN PUBLIC SCHOOL
City: LUCKNOW City: LUCKNOW
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Address of School/College: SECTOR 8 JANKIPURAM extension
  Centre code:
  Pin: 226021
  Contact Nos:
  Email: mjankipuram@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:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
10/2020 martial arts lifetime
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have a keen interest in sports and martial arts so I have joined taekwondo classes right after my 12th . Also I am into swimming and I used to be regular swimmer before this pandemic. I love to read good books and have completed few good novels like wings of fire by Late APJ abdul Kalam.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it helps in overall development of personality which I feel I require most. Secondly it will give a flying start to my career as starting salaries are pretty handsome for a mariner
Why do you wish to join TMI?: Because it one the best martine institute and as far I Know TMI provides nearly 100 percent placment and infa structure of whole institute is a great add on
What are your hobbies?: swimming,travelling, gardening
What are your strengths?: good decision making ability, disciplined,sharp minded
What are your weaknesses?: i am short tempered but i am overcoming this by yoga secondly I dont gel up around easily
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

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Date ________________

 
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