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: DEG2171577
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHD SAFDAR
Mother's Name: SHAMA PARVEEN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Sep 2003 Nationality: INDIAN
Place of Birth: KANPUR Personal Identification Mark: BURN MARK ON LEFT HAND
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 16 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: L4/23 Ganga Vihar KDA Colony JAJMAU KANPUR
State: Uttar Pradesh Country: India
Pin: 208010 City/District: Kanpur Nagar
Mobile no: 7860974485 Telephone No. with STD code: 7860974485
Aadhar Card No:847964326906 E-mail: mohdsafdar90@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHAMA PARVEEN Relationship with candidate: MOTHER
Parents Date of Birth: 01 Apr 1974 Parent's/Guardian's Occupation/Designation: HOUSE WIFE
   
Office Address:
   
Address: L4/23 GANGA VIHAR KDA COLONY JAJMAU
Country: India State: Uttar Pradesh
City/District: Kanpur Pin: 208010
Tel: 09936217539 Mobile no.: 9936217539
Fax: Email: mohdsafdar90@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Uttar Pradesh
School: ST JOSEPH SENIOR SECONDARY SCHOOL School: MUKTESHWARI ADARSH INTER COLLEGE
City: KANPUR City: KANPUR
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: NEW AZAAD NAGAR
  Centre code:
  Pin: 208001
  Contact Nos:
  Email: mohdsafdar90@gmail.com
  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 WILL WORK ON MY COMMUNICATION SKILLS
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BECAUSE I AM VERY MUCH FASCINATED ABOUT ENGINE AND SEA
Why do you wish to join TMI?: BECAUSE I BELIEVE TMI IS BEST FOR MARINE ENGINEERING
What are your hobbies?: CYCLING AND PLAYING BADMINTON
What are your strengths?: I AM DEDICATED TO MY WORK
What are your weaknesses?: I FEEL SHY SOMETIMES
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

___________________

Date ________________