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.Tech. Marine Engineering
Dossier ID: DEG2168780 Name: Md Danish Alam
  Address: New Kareemganj Rd No. 1 Near Creane School
Telephone No.: Mobile no: 7091383763
E-mail: d22m26@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 DEG2168780 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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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.Tech. Marine Engineering
Dossier ID: DEG2168780
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Md Danish Alam
Mother's Name: Sanzida Khatoon
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Jul 2001 Nationality: Indian
Place of Birth: Gaya Personal Identification Mark: Moles in right eye
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 04 Jul 2001 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: New Kareemganj Rd No. 1 Near Creane School
State: Bihar Country: India
Pin: 823001 City/District: Gaya
Mobile no: 7091383763 Telephone No. with STD code:
Aadhar Card No:366439342103 E-mail: d22m26@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Md Faiyaz Alam Relationship with candidate: Brother
Parents Date of Birth: 12 Dec 1988 Parent's/Guardian's Occupation/Designation: Electrical Engineer
   
Office Address:
   
Address: New Kareemganj Rd no. 1 Near Creane School
Country: India State: Bihar
City/District: Gaya Pin: 823001
Tel: Mobile no.: 9431209904
Fax: Email: mdfaiyaazalam@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2020
Board: CBSE Board: Bihar
School: Shatabdi Public School School: Pita Maheshwar S.S School Kujapi
City: Gaya City: Gaya
English %: 9 Board Roll No./Seat No.: 20010085
Aggregate Percentage: 9 School/College Code: 21129
  Address of School/College: Kujapi Dehla Gaya
  Centre code: 10350900103
  Pin: 823002
  Contact Nos:
  Email: pitamaheshwarshskujapigaya@gmail.com
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 55 55
Chemistry 100 57 57
Mathematics 100 42 42
Physics, Chemistry & Mathematics combined Percentage: 51.33
English 100 90 90
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2021 Cricket Tournament Win the Tournament
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Few time with family and and few time with study
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: I Love this college
What are your hobbies?: Playing cricket
What are your strengths?: My family
What are your weaknesses?: My family
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

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Date ________________

 
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