Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Lateral Entry - B.Tech (Marine Engineering)

APPLICATION FOR ADMISSION - 2020
 
Dossier ID: LTE2058596
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Sahbaj Ahamad Siddique
Mother's Name: Mahelaka Banu  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 09 Dec 1996 Name as per passport:
Passport No.: Date of Expiry:
Place of Issue: Nationality:

(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.)
Place of Birth: Faizabad Personal Identification Mark: Mole below right side of lips
Blood Group: O + Address for Communication: Plot no 48 Aman Nagar
State: Karnataka Country: India
Pin: 590016 City/District: Belgaum
Mobile no: 8618828943 Telephone No. with STD code:
Aadhar Card No:715554947022 E-mail: sahbajsiddique@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohd Rahimuddin Relationship with candidate: Parents
Parents Date of Birth: 01 Jan 1966 Parent's/Guardian's Occupation/Designation: Ex-Army
   
Office Address:
   
Address: Plot no 48 Aman Nagar
Country: India State: Karnataka
City/District: Belgaum Pin: 590016
Tel: Mobile no.: 9449413230
Fax: Email: kasbarahim@gmail.com
 

Education and Academic Record :
Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2013 Year of Joining: 2017
Board: CBSE Year of Passing: 2020
School Name: Kendriya Vidyalaya no 2 Belgaum cant Board: Karnataka
City: Belgaum Name of College/Institution: Amrutha institute of engineering and management sciences-polytechnic
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 65 First year: 74
English: 67 Second year: 51
Address of School/College: Kendriya Vidyalaya No. 2, Belagavi Cantt. Opposite Green Hotel, Near Military Hospital, Belgaum Cant. BELGAUM Third year:
Pin: 590009 Aggregate Percentage:
Contact Nos:  
Email: kvno2_belgaum@yahoo.co.in  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
May 2013 NCC 3 years
 
Why do you wish to join TMI?: I believe TMI provides great opportunity towards achieving my goals.
What are your hobbies?: My hobby is to play football and practicing for boxing.
What are your strengths?: I know how to turn the tables.
What are your weaknesses?: I can not stick to one thing.
How do you intend to meet the expenses of this program?: Bank Loan
 
Declaration

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

Signature of Candidate
 

___________________

Date ________________