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: DEG7068491 Name: MOHD MAAZ
  Address: preet vihar colony preet vihar preet vihar
Telephone No.: 09870960275 Mobile no: 9870960275
E-mail: siddiquemaaz1@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 DEG7068491 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: DEG7068491
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHD MAAZ
Mother's Name: HAMSHEER BEGUM
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Sep 2000 Nationality: INDIAN
Place of Birth: RAMPUR U.P Personal Identification Mark: mark on right hand
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 01 Sep 2000 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: preet vihar colony preet vihar preet vihar
State: Uttaranchal Country: India
Pin: 263153 City/District: RUDRAPUR
Mobile no: 9870960275 Telephone No. with STD code: 09870960275
Aadhar Card No:289403317980 E-mail: siddiquemaaz1@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: FARMOOD ALI Relationship with candidate: father
Parents Date of Birth: 01 Feb 1996 Parent's/Guardian's Occupation/Designation: farmer
   
Office Address:
   
Address: kemri rampur kemri rampur kemri rampur
Country: India State: Uttaranchal
City/District: RUDRAPUR Pin: 263153
Tel: 09411453716 Mobile no.: 8077341489
Fax: Email: siddiquemaaz1@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: HOLY CHILD SCHOOL School: HOLY CHILD SCHOOL
City: RUDRAPUR City: RUDRAPUR
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 64 School/College Code:
  Address of School/College: bharatpur rampur
  Centre code:
  Pin: 263153
  Contact Nos: 9870960275
  Email: siddiquemaaz1@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: playing sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: yes
Why do you wish to join TMI?: bcoz it is the best college
What are your hobbies?: adventures
What are your strengths?: in chemistry
What are your weaknesses?: in maths
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded Class X marksheet School leaving 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

 

___________________

Date ________________

 
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