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: DEG2170357 Name: Ali Zaheer
  Address: 463/17 Hata Mirza Ali Khan , Husainabad, Lucknow 303 Batool Plaza , Durgadevi Road , Mehtabbagh , Husainabad, Lucknow
Telephone No.: Mobile no: 9696094275
E-mail: zaheeraliabidi15@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 437809055
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2170357 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: DEG2170357
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ali Zaheer
Mother's Name: Shabnam Bano
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Oct 2002 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Mole on left cheek
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 12 Oct 2002 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: 463/17 Hata Mirza Ali Khan , Husainabad, Lucknow 303 Batool Plaza , Durgadevi Road , Mehtabbagh , Husainabad, Lucknow
State: Uttar Pradesh Country: India
Pin: 226003 City/District: Lucknow
Mobile no: 9696094275 Telephone No. with STD code:
Aadhar Card No:415754378523 E-mail: zaheeraliabidi15@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Hasan Sajid Akhtar Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1969 Parent's/Guardian's Occupation/Designation: Self employed
   
Office Address:
   
Address: 222 ,Mangal bazar , Tower wali Gali, Naugawan Sadat 222 ,Mangal bazar , Tower wali Gali, Naugawan Sadat
Country: India State: Uttar Pradesh
City/District: Amroha Pin: 244251
Tel: Mobile no.: 8318561614
Fax: Email: sajidskm110@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: City Montessori School School: City Montessori School
City: Lucknow City: Lucknow
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Address of School/College: City Montessori School , Chowk Branch , Hardoi road , Chowk, Lucknow
  Centre code:
  Pin: 226003
  Contact Nos: 2254778
  Email: cmschowk@cmseducation.org
  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
09/2019 Model Class Presentation Narrator in a play 1st
06/2019 World Peace Prayer Representative for Greece 9th
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would spend some quality time with my parents before joining the college
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think that nautical science would be a good option for me since I have keen interest in knowing about the navigation system of a ship
Why do you wish to join TMI?: TMI offers the best placement besides offering quality knowledge
What are your hobbies?: i listen to music in my free time
What are your strengths?: I am very dedicated towards my ambitions
What are your weaknesses?: I have a very introverted personality
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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