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: DEG2169038
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHAMMED HISHAM
Mother's Name: NAGHMA MUKHTAR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Nov 2002 Nationality: INDIAN
Place of Birth: KOLKATA Personal Identification Mark: NA
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 11 Nov 2002 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : MOHAMMED HISHAM Passport No.: U6235084
Date of Expiry: 17 Feb 2030 Place of Issue: KOLKATA
(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: 25 RIPON STREET KOLKATA 700016
State: West Bengal Country: India
Pin: 700016 City/District: KOLKATA
Mobile no: 9748444068 Telephone No. with STD code:
Aadhar Card No:7749 5971 5990 E-mail: mdhisham211@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ARSHADUL IMAN Relationship with candidate: FATHER
Parents Date of Birth: 24 Apr 1969 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: 25 RIPON STREET KOLKATA - 700016
Country: India State: West Bengal
City/District: KOLKATA Pin: 700016
Tel: Mobile no.: 9831183162
Fax: Email: mdhisham212@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: CALCUTTA BOYS SCHOOL School: ST THOMAS DAYS SCHOOL
City: KOLKATA City: KOLKATA
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: 9, Mirza Ghalib Street Kolkata 700087
  Centre code:
  Pin: 700087
  Contact Nos:
  Email: mdhisham211@gmail.com
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
7/2019 football school level midfielder
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for my studies in college and working on my physical strength
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: When i came to know about the field of marine engineering i was very passionate about the field and it caught my attention
Why do you wish to join TMI?: I wish to join TMI because it is one the most prestigious and reputed institute in the field of marine engineering
What are your hobbies?: Playing football and swimming
What are your strengths?: I am a forward thinker,optimistic and love to take challenges head on
What are your weaknesses?: I always believe in practical knowledge than theories which resulted in average scores
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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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