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: DEG2171388 Name: MOHAMMAD ARBAZ SIDDIQUI
  Address: 548GHA 83/1 TEJI KHERA MANAK NAGAR LUCKNOW
Telephone No.: Mobile no: 9044467912
E-mail: arbazking1000@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 423048502
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2171388 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: DEG2171388
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHAMMAD ARBAZ SIDDIQUI
Mother's Name: ISHRAT SIDDIQUI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jul 2002 Nationality: INDIAN
Place of Birth: LUCKNOW Personal Identification Mark: NIL
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 01 Jul 2002 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : MOHAMMAD ARBAZ SIDDIQUI Passport No.: V0335675
Date of Expiry: 30 Aug 2030 Place of Issue: LUCKNOW
(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: 548GHA 83/1 TEJI KHERA MANAK NAGAR LUCKNOW
State: Uttar Pradesh Country: India
Pin: 226011 City/District: LUCKNOW
Mobile no: 9044467912 Telephone No. with STD code:
Aadhar Card No:303509138684 E-mail: arbazking1000@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MOHAMMAD ARBAZ SIDDIQUI Relationship with candidate: FATHER
Parents Date of Birth: 15 Mar 1969 Parent's/Guardian's Occupation/Designation: MERCHANT NAVY
   
Office Address:
   
Address: Posh Offshore Singapore No 1 kim seng promende 06-01 Great world city. 237994
Country: Singapore State: Other
City/District: Singapore Pin: 237994
Tel: 0 Mobile no.: 9044467912
Fax: Email: mws_in@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Other Board: Other
School: CMS LDA Branch Lucknow School: CMS LDA Brach Lucknow
City: Lucknow City: Lucknow
English %: 77 Board Roll No./Seat No.: 202
Aggregate Percentage: 87 School/College Code: 2201820
  Address of School/College: City montessori School LDA Branch Lucknow Uttar Pradesh
  Centre code: 2201820
  Pin: 226012
  Contact Nos: 05222435690
  Email: kanpurroad@cmseducation.org
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 85 85
Chemistry 100 74 74
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 78.33
English 100 95 95
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning , reading books
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Interest in ship mechanism, astronomy, and variations in sea life
Why do you wish to join TMI?: Considered as among best institute for merchant navy.
What are your hobbies?: Cyling, art
What are your strengths?: Fast practical Learner
What are your weaknesses?: bit stress while exam
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 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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