Application Form For Admission - 2011 - Four Year B.S. (Marine Engineering / B. S.

Nauti Technology) Progamme

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Please click the SUBMIT button to submit your application. A copy of your application will be retained on this website and a copy wil emailed to you.

Print this page for sending to TMI along with the other required documents.

You may use your email id and the password that you have chosen to log into this website at a later date and retrieve a copy of y application. You will not be able to edit your application except for adding your Class XII results if you have not added them at this time. Tolani Maritime Institute Talegaon - Chakan Road Induri, Talegaon Pune - 410 507 INDIA

Direct: 02114-241960 Switchboard: 02114-242001, 242002, 242004, 242005, 242015, 242016, 242017. Fax: 02114 - 241517

Form Number: W2011/ 20

Applicant's Personal Information:

Full Name: Date of Birth: Sex: Marital Status: Nationality: Place of Birth: Personal Identification mark: Height: Weight: E-mail: Photograph: Shiva Chanana 21 Jul 1992 Male Single INDIAN SHAMLI, UTTAR PRADESH BURN SIGN ON RIGHT ARM 178 cms. 65 kg. shiva_chanana@yahoo.com

Addresses & Contact Details:(Postal Codes & STD Dial Codes must be included)

Addresss for communication regarding admission: House / Building No.:

Chanana Bhawan,cB Guota Colony,shamli

Street / Lane: Village / Post Office / Tehsil: City / District: Country: State: PIN: Mobile: Telephone No. (with STD code) : Contact details for Father / Guardian: Name of Father/Guardian: Father's/Guardian's Occupation/Designation: Father / Guardian's Office: Tel: Mobile: Fax: E-mail:

1 Muzzaffarnagar India Uttar Pradesh 247776 9808285985 1398-250824 Ext:

Mr Sudhir Chanana Businessman

1398-250832 Ext: 9927001323 shiva_chanana@gmail.com

Program preference: First choice: Second Choice: Marine Engineering Nautical Technology

Applicant's Academic Record:

Class X 2008 ISCE St Francis School 78% 69% Class XII 2010 CBSE Silver Bells Public School 81% 84% 5766130

Year of Passing: Board: School: Aggregate: English: XII Board Roll No. / Seat No.:

Details of Marks Secured: Subjects

Maximum Marks

Marks Secured 81 74 72

Percentage 81% 74% 72% 75.67%

Physics 100 Chemistry 100 Mathematics 100 Cumulative Physics, Chemistry & Mathematics Percentage:

Sports & Extra Curricular Activities :

How are you spending your time after completing Class XII Final The Time I Got I Enjoyed With A Little Nervousness Of My Carreer.I Had To C

Exams & before you join college?

Entrace Examination And So I Could Not Enjoy Up To The Mark But Yes Have More Time Now As Compared And I Can Do All The Activities Now Which I Wa Unable To During My Schiil Life.

Other Information:
What are all the colleges you are seeking admission to in your order of preference? Petroleum University Dehradun First Preference: Tolani Maritime Institute Second Preference: Delhi University Third Preference: Why do you think the B.S. in Marine Engineering/Nautical I Have Heard About Merchant Navy A Lot And I Think Being An Engineer In Marine Engineering Would Be Satisfactory. Technology at TMI is a good option for you? What are your hobbies? playing table tennis,music What are your strengths? speaking skill What are your weaknesses? laziness How do you intend to meet the expenses of this program? Bank Loan

Online Admission Test:

1 Choice : * Dehradun
st

nd

Choice : * Delhi

Declaration:
We hereby declare that all the statements made above are true and correct.

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