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.Tech. Marine Engineering
Dossier ID: DEG2170477 Name: Mohammed Asaf Vasif Borkar
  Address: H.NO-2762,Rajapurkar Colony. Udyamnagar,Ratnagiri.
Telephone No.: Mobile no: 9325404697
E-mail: mohammedasaf01@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 423296152
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2170477 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.Tech. Marine Engineering
Dossier ID: DEG2170477
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohammed Asaf Vasif Borkar
Mother's Name: Sabina
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Sep 2003 Nationality: Indian
Place of Birth: Ratnagiri Personal Identification Mark: Mole on chin
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 13 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: H.NO-2762,Rajapurkar Colony. Udyamnagar,Ratnagiri.
State: Maharashtra Country: India
Pin: 415612 City/District: Ratnagiri
Mobile no: 9325404697 Telephone No. with STD code:
Aadhar Card No:368258267801 E-mail: mohammedasaf01@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vasif Samad Borkar Relationship with candidate: Son
Parents Date of Birth: 18 Feb 1972 Parent's/Guardian's Occupation/Designation: Accountant
   
Office Address:
   
Address: Jeelani Marine Products MIDC, Ratnagiri.
Country: India State: Maharashtra
City/District: Ratnagiri Pin: 415639
Tel: Mobile no.: 9420912932
Fax: Email: vasif2007@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Sacred Heart Convent High School Udyamnagar School: Late T.P Kelkar Junior College Of Science.
City: Ratnagiri City: Ratnagiri
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Address of School/College: Gadital Ratnagiri
  Centre code:
  Pin: 415612
  Contact Nos:
  Email: phatak_highschool@rediffmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2019 MSCIT 30 days
05/2019 Computer Hardware 15 days
06/2019 Advanced Excel 30 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will pursue the course of Auto Cad.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Basically, I have an interest in machines, so it will be like following my passion.
Why do you wish to join TMI?: I went through many colleges and found TMI to be the best in offering B.Tech Marine Engineering to date. I have always wished to join such a reputed institute.
What are your hobbies?: Learning new interesting things, Modifying cars.
What are your strengths?: Patience and Belief in Myself
What are your weaknesses?: Stage Fear.
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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