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: DEG2168597
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHD FARAZ RIZVI
Mother's Name: SHAMEEM BANO
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Sep 2003 Nationality: INDIAN
Place of Birth: HOSPITAL Personal Identification Mark: Not known yet
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 12 Sep 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: VILLAGE-KESARUVA POST-GADIYA DISTRICT-BARABANKI DISTRICT BARABANKI CITY- LUCKNOW STATE UTTAR PRADESH
State: Uttar Pradesh Country: India
Pin: 225003 City/District: BARABANKI
Mobile no: 7355367660 Telephone No. with STD code:
Aadhar Card No: E-mail: farazr360@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ZAFRUL HASAN Relationship with candidate: FATHER
Parents Date of Birth: 10 May 1963 Parent's/Guardian's Occupation/Designation: RETIRED GOV. SERVANT
   
Office Address:
   
Address: NEAR GANGA VIHAR COLONY CHINHAT LUCKNOW
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 227105
Tel: Mobile no.: 7355367660
Fax: Email: farazr360@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: LUCKNOW PUBLIC SCHOOL VINAMRA KHAND BRANCH School: lucknow public school
City: LUCKNOW City: Gomti nagar Lucknow
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: vinamra khand gomti nagar lucknow
  Centre code:
  Pin: 221060
  Contact Nos:
  Email: principal_gn@lpsc.co.in
  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 ?: i wish to learn some basics things about merchant navy and i also want to know about TMI means that about discipline and rules and regularities. And i also want to work on my extracurricular activities
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Bsc in nautical science course are less crowded and saturated therefore i think this is good option for me
Why do you wish to join TMI?: TMI is well reputed institute which is also approved by DG shipping pf india
What are your hobbies?: playing cricket
What are your strengths?: creativity,communications skills and dedication
What are your weaknesses?: I focus to much on details but i will improve it
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

___________________

Date ________________