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: Name: SK ASHIQUR RAHMAN MIDDYA
  Address: HOUSE NO. 5A, DHIRENPARA DK PATH, NEAR 2NO. MASJID PO-AMBARI FATASIL, PS-AMBARI FATASIL , DISTRICT-KAMRUP METRO GUWAHATI-781025, ASSAM
Telephone No.: Mobile no: 9957398052
E-mail: middya936@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID 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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SK ASHIQUR RAHMAN MIDDYA
Mother's Name: JAHANARA BEGUM
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jan 2001 Nationality: INDIAN
Place of Birth: GUWAHATI Personal Identification Mark: MOLE NEAR LEFT EYE
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 15 Jan 2001 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: HOUSE NO. 5A, DHIRENPARA DK PATH, NEAR 2NO. MASJID PO-AMBARI FATASIL, PS-AMBARI FATASIL , DISTRICT-KAMRUP METRO GUWAHATI-781025, ASSAM
State: Assam Country: India
Pin: 781025 City/District: GUWAHATI
Mobile no: 9957398052 Telephone No. with STD code:
Aadhar Card No:887259194018 E-mail: middya936@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SK SOFIK MIDDYA Relationship with candidate: FATHER
Parents Date of Birth: 02 Feb 1967 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: SAPINA TAILORS, KUMARPARA , F.A ROAD, RAILWAY GATE NO. 6 PO- BHARALUMUKH, DISTRICT- KAMRUP METRO, GUWAHATI-781001, ASSAM
Country: India State: Assam
City/District: GUWAHATI Pin: 781025
Tel: Mobile no.: 9706437399
Fax: Email: jiaur010@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Assam Board: Assam
School: SHISHU NIKETAN HIGH SCHOOL School: ARYA VIDYAPEETH COLLEGE
City: GUWAHATI City: GUWAHATI
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Address of School/College: GOPINATH NAGAR, GUWAHATI-16, ASSAM
  Centre code:
  Pin: 781016
  Contact Nos:
  Email: principal@avcollege.ac.in
  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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to spend my time after completing my final exams by cultivating my interest in various fields . And to work on my flaws and to focus on my goals and dreams. I also want to spend some quality time with my family.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: First of all, it is not an everyday course where you graduate from the course in the university. Well I think Nautical Science is always good who is looking to be in the shipping industry and sail the whole world at large.
Why do you wish to join TMI?: I want to join TMI as it is obviously the best institute in India or even Asia for Nautical Science and also because I find myself a suitable candidate for this field.
What are your hobbies?: I basically utilise my time drawing/sketching most of the time apart from that I also love to listen music and play games.
What are your strengths?: My strength is my flexibility to handle change. I can stay positive in difficult situations.
What are your weaknesses?: I feel that I can improve my skills and could more stronger and Im constantly working to improve them.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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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