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.Sc. Nautical Science
Dossier ID: DEG2169081 Name: Fardin vs
  Address: 19/915A Sasi road, palluruthy,kacheripady, k Kochi
Telephone No.: 09746767126 Mobile no: 9746767126
E-mail: fardinmunnu78@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 441209372
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169081 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.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2169081
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Fardin vs
Mother's Name: Fousiya sajid
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Sep 2003 Nationality: Indian
Place of Birth: Aluva Personal Identification Mark: Black dot on right hand
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 18 Sep 2003 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: 19/915A Sasi road, palluruthy,kacheripady, k Kochi
State: Kerala Country: India
Pin: 682006 City/District: Ernakulam
Mobile no: 9746767126 Telephone No. with STD code: 09746767126
Aadhar Card No:963334731543 E-mail: fardinmunnu78@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sajid va Relationship with candidate: Son
Parents Date of Birth: 27 Feb 1976 Parent's/Guardian's Occupation/Designation: Driver
   
Office Address:
   
Address: 19/915A Sasi road palluruthy kacheripady ernakulam Kochi
Country: India State: Kerala
City/District: Ernakulam Pin: 682006
Tel: 08089121310 Mobile no.: 9746767126
Fax: Email: fardinmunnu78@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Kerala
School: Auxilium English medium school kochi School: Santa Cruz higher secondary school
City: Kochi City: Kochi
English %: 67 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Address of School/College: Santa Cruz higher secondary schoool fortkochi ernakulam
  Centre code:
  Pin: 682001
  Contact Nos:
  Email: fardinmunnu78@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
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
08/2017 Mountain cycling State Participated
12/2018 Track cycling State Participated
10/2018 Road cycling State Participated
07/2017 Mountain cycling District 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Workout,photography,reading,
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical science
Why do you wish to join TMI?: Great institute
What are your hobbies?: Cycling and athletics
What are your strengths?: Mind power
What are your weaknesses?: 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

 

___________________

Date ________________

 
Print Summary and Application Form