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.Tech. Marine Engineering
Dossier ID: DEG2195766 Name: AKASH VERMA
  Address: 25/39 b block mig kda Market Panki kanpur
Telephone No.: 09807903260 Mobile no: 8840737863
E-mail: av25265@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: 13946230274
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2195766 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.Tech. Marine Engineering
Dossier ID: DEG2195766
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AKASH VERMA
Mother's Name: Neelam devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Nov 2003 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: No
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 18 Nov 2003 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: 25/39 b block mig kda Market Panki kanpur
State: Uttar Pradesh Country: India
Pin: 208020 City/District: Kanpur
Mobile no: 8840737863 Telephone No. with STD code: 09807903260
Aadhar Card No:670102396783 E-mail: av25265@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shobhnath Verma Relationship with candidate: Father
Parents Date of Birth: 10 Nov 1967 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 25/39 b block mig kda Market Panki kanputr
Country: India State: Uttar Pradesh
City/District: Kanpur Nagar Pin: 208020
Tel: 09807903260 Mobile no.: 8840737863
Fax: Email: av25265@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Dr virendra swaroop education Center School: Dr. Virendra swaroop education Center
City: Panki Kanpur City: Kanpur Nagar
English %: 82 Board Roll No./Seat No.: 23671767
Aggregate Percentage: 80 School/College Code: 70755
  Address of School/College: 25/39 b block mig kda Market Panki kanputr
  Centre code:
  Pin: 208020
  Contact Nos: 08840737863
  Email: av25265@gmail.com
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 82 82
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 79.33
English 100 81 81
   
IMU CET Application Number: CET21U1003582  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By studying and searching for best university
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Because it is best option for marine engineering and it is my dream to be a marine engineering
What are your hobbies?: My hobbies is to play cricket and listening music
What are your strengths?: If I decided something then I will do hard work for that
What are your weaknesses?: My weakness is in learning history
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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