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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG7067846 Name: Shabana Shaikh
  Address: j f j
Telephone No.: Mobile no: 9922680874
E-mail: shabanas@tmi.tolani.edu  
   
Application fee payment details:  
Payment Status: Offline 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 DEG7067846 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG7067846
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shabana Shaikh
Mother's Name: b
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Nov 1998 Nationality: Indian
Place of Birth: h Personal Identification Mark: dd
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 04 Nov 1998 Nationality: Indian
Gender (M/F): Female 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: j f j
State: Nagaland Country: Albania
Pin: 410507 City/District: jj
Mobile no: 9922680874 Telephone No. with STD code:
Aadhar Card No: E-mail: shabanas@tmi.tolani.edu
 
Guardian's Particulars:
 
Name of Parent/Guardian: j Relationship with candidate: l
Parents Date of Birth: 05 Feb 1996 Parent's/Guardian's Occupation/Designation: l
   
Office Address:
   
Address: j j
Country: Bahrain State: Nagaland
City/District: j Pin: 410507
Tel: Mobile no.: 9999999999
Fax: Email: shabanas@tmi.tolani.edu
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: ISCE Board: Chhatisgarh
School: hh School: h
City: hh City: h
English %: 1 Board Roll No./Seat No.: 5555
Aggregate Percentage: 1 School/College Code: 455
  Address of School/College: h
  Centre code: 4555
  Pin: 410507
  Contact Nos: 9999999999
  Email: shabanas@tmi.tolani.edu
  Aggregate Percentage: 1
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 44 44
Chemistry 100 44 44
Mathematics 100 44 44
Physics, Chemistry & Mathematics combined Percentage: 44
English 100 88 88
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: 4
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: 4
Why do you wish to join TMI?: 4
What are your hobbies?: 4
What are your strengths?: 4
What are your weaknesses?: 4
How do you intend to meet the expenses of this program?: Other - 4
 
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 ________________

 
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