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: DEG2169571 Name: MOHAMMED HISHAM
  Address: Flat 2F Aashiyana Apartment 25 RIPON STREET
Telephone No.: Mobile no: 9748444068
E-mail: mdhisham212@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 416587545
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169571 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2169571
 
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: Flat 2F Aashiyana Apartment 25 RIPON STREET
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: mdhisham212@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: 20 Park Lane Park Street
Country: India State: West Bengal
City/District: KOLKATA Pin: 700016
Tel: Mobile no.: 9831183162
Fax: Email: yeheyaansari@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.: 6933165
Aggregate Percentage: 75 School/College Code: WB031
  Address of School/College: 9, Mirza Ghalib Street
  Centre code: WB031
  Pin: 700087
  Contact Nos: 09831183162
  Email: stdslit@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 63 63
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 70
English 100 85 85
   
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
07/2019 Football School Level Mid Fielder
 
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 Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet
 
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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