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: DEG2172122 Name: Md saddam kalimullah
  Address: Chausa Bazar Buxar Bihar
Telephone No.: Mobile no: 8563810755
E-mail: ahmadsaddam78@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 439778344
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2172122 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DEG2172122
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Md saddam kalimullah
Mother's Name: Shajahan begam
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jun 2001 Nationality: Indian
Place of Birth: Chausa Biha Personal Identification Mark: Moles on nose
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 21 Jun 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: Chausa Bazar Buxar Bihar
State: Bihar Country: India
Pin: 802114 City/District: Buxar
Mobile no: 8563810755 Telephone No. with STD code:
Aadhar Card No:502573578869 E-mail: ahmadsaddam78@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MD JUNED AHMED Relationship with candidate: BROTHER
Parents Date of Birth: 22 Jan 1985 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: Chausa Bazar Buxar Bihar
Country: India State: Bihar
City/District: Buxar Pin: 802114
Tel: Mobile no.: 8409002158
Fax: Email: ahmadsaddam78@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: CBSE
School: Rani Laxmi Bai Memorial School School: Rani laxmi bai memorial school
City: Lucknow City: Lucknow
English %: 95 Board Roll No./Seat No.: 5691343
Aggregate Percentage: 95 School/College Code: 54224
  Address of School/College: Ganga Vihar colony chinhat lucknow
  Centre code: 5232
  Pin: 226028
  Contact Nos:
  Email: rlbmsch@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 68 68
Mathematics 100 59 59
Physics, Chemistry & Mathematics combined Percentage: 63.67
English 100 85 85
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: by studing books
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: love for seas
Why do you wish to join TMI?: good placement
What are your hobbies?: playing cricket
What are your strengths?: beleiving in me
What are your weaknesses?: watching cricket
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

 

___________________

Date ________________

 
Print Summary and Application Form