Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science 2020)
Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049678 Name: NURSUMAR AHMED RAZA NASIR
  Address: A-62/ALMAS APARTMENTS SANE GURUJI MARG OPP.VIVERIA, AGRIPADA
Telephone No.: Mobile no: 9372294083
E-mail: ahmedrazanursumar786@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 304217310
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049678 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 ensure that you send the following documents with your application.
  1. Write Application for Diploma in Nautical Science, Dossier ID on the envelope
  2. Print the application form duly filled
  3. Print the application summary duly signed where indicated
  4. Three identical recent passport size photographs with name & dossier id written at the back
  5. Self – attested copies of Class X marksheet and Pass Certificate
  6. Self – attested copies of Class XII marksheet and Pass Certificate (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  7. Self – attested copies of class XII marksheet downloaded from internet (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  8. Self – attested copies of school leaving certificate / transfer certificate (for proof of age)
  9. Self – attested copy of birth certificate (for proof of age and place of birth)
  10. Copies of sports and extra-curricular activities (Class VIII and above only)
  11. Copy of Class XII board exam admit card for those appearing in 2020
  12. A non-refundable Demand Draft of Rs. 200/- favouring “Tolani Maritime Institute” payable at Pune. Write your name, dossier id and contact details on the reverse of the Demand Draft (Kindly ignore if you have paid online)
  13. Please keep a copy of the form for your reference for communicating with the Institute
Send Duly filled application forms to:

Admissions Cell (DNS)
Tolani Maritime Institute
Talegaon-Chakan road, Induri,
Talegaon, Pune, Pin- 410507
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
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2020
 
  Dossier ID: DNS2049678
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NURSUMAR AHMED RAZA NASIR
Mother's Name: NARGIS
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jan 2001 Nationality: INDIAN
Place of Birth: MUMBRA Personal Identification Mark: NONE
Blood Group: B + Address for Communication: A-62/ALMAS APARTMENTS SANE GURUJI MARG OPP.VIVERIA, AGRIPADA
State: Maharashtra Country: India
Pin: 400011 City/District: MUMBAI CITY
Mobile no: 9372294083 Telephone No. with STD code:
Aadhar Card No:651474138043 E-mail: ahmedrazanursumar786@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: NASIR NURSUMAR Relationship with candidate: FATHER
Parents Date of Birth: 05 Jul 1978 Parent's/Guardian's Occupation/Designation: BUSINESS-PROPRIETOR
   
Office Address:
   
Address: 18/20,BHANDARI STREET OPP. MASJID BUNDER POST OFFICE ABOVE JAN SEVA TRANSPORT
Country: India State: Maharashtra
City/District: MUMBAI CITY Pin: 400003
Tel: Mobile no.: 9819367107
Fax: Email: nasirnursumar@gmail.com
 

Education and Academic Record :
Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: Other Board: Maharashtra
School: ST. PETERS SCHOOL School: NAVNEET EDUCATION SOCIETY
City: MUMBAI City: MUMBAI
English %: 75 Board Roll No./Seat No.: M056815
Aggregate Percentage: 79 School/College Code: 3102018
  Centre code: 3102
  Address of School/College: BELASIS BRIDGE, MUMBAI CENTRAL
  Pin: 400008
  Contact Nos: 0223082015
  Email: navneet_edu@yahoo.co.in
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 84 84
Chemistry 100 83 83
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 83.67
English 100 66 66
   
IMU CET Application Number: CET20U89492  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: will prepare myself for IMU CET, and focus on my goal to prepare for admission in TMI.
Why do you wish to join TMI?: To enter the Maritime industry I need a great and stable start. who better than TMI to help me achieve this.
What are your hobbies?: Listening motivational songs,playing cricket
What are your strengths?: Hard working,Friendly,Willing to learn.
What are your weaknesses?: Moody.
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate Class XII admit card Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate
 

___________________

Date ________________
 
Print Summary and Application Form