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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Hardik
Mother's Name: Vidyavati
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jul 2002 Nationality: Indian
Place of Birth: Pilani Personal Identification Mark: Half teeth
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 10 Jul 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: Shanti colony ward no. 1 pilani Jhunjhunu Rajasthan Shanti colony ward no. 1 pilani Jhunjhunu Rajasthan Shanti colony ward no. 1 pilani Jhunjhunu Rajasthan
State: Rajasthan Country: India
Pin: 333031 City/District: Jhunjhunu
Mobile no: 9784533301 Telephone No. with STD code: 09784533301
Aadhar Card No:236301830688 E-mail: hardikchoudhary512@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vidyavati poonia Relationship with candidate: Mother
Parents Date of Birth: 01 Nov 1976 Parent's/Guardian's Occupation/Designation: Government employee
   
Office Address:
   
Address: Shanti colony ward no. 1 pilani Jhunjhunu Rajasthan Shanti colony ward no. 1 pilani Jhunjhunu Rajasthan Shanti colony ward no. 1 pilani Jhunjhunu Rajasthan
Country: India State: Rajasthan
City/District: Jhunjhunu Pin: 333031
Tel: 09784533301 Mobile no.: 9784533301
Fax: 0978533301 Email: hardikchoudhary512@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Birla School Pilani Jhunjhunu Rajasthan School: Birla School Pilani Jhunjhunu Rajasthan
City: Pilani City: Pilani
English %: 82 Board Roll No./Seat No.: 11656708
Aggregate Percentage: 80 School/College Code: 10458
  Address of School/College: Pilani
  Centre code: 1314
  Pin: 333031
  Contact Nos: 9784533301
  Email: hardikchoudhary512@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 66 66
Chemistry 100 76 76
Mathematics 100 59 59
Physics, Chemistry & Mathematics combined Percentage: 67
English 100 69 69
   
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
02/2018 CBSE Cluster Running Silver
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am polishing my knowledge and skills
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Bsc nautical science
Why do you wish to join TMI?: For good carrer
What are your hobbies?: Gymnasium
What are your strengths?: Good achiever
What are your weaknesses?: Nothing
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate not uploaded Class X marksheet not uploaded School leaving 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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