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: DEG2172866 Name: Khan Shejadi Matiulla
  Address: J-2/205,lok vruksha,phase-1 near vasant vihar,gladys alvares road,thane west 400610
Telephone No.: Mobile no: 8433884718
E-mail: shejadikhan08@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425203867
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2172866 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: DEG2172866
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Khan Shejadi Matiulla
Mother's Name: Ashiya
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Oct 2002 Nationality: Indian
Place of Birth: Thane Personal Identification Mark: Birth mark on my left hand arm
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 08 Oct 2002 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : khan shejadi matiulla Passport No.: P1141153
Date of Expiry: Place of Issue: Thane
(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: J-2/205,lok vruksha,phase-1 near vasant vihar,gladys alvares road,thane west 400610
State: Maharashtra Country: India
Pin: 400610 City/District: Thane
Mobile no: 8433884718 Telephone No. with STD code:
Aadhar Card No:273803678108 E-mail: shejadikhan08@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Matiulla Relationship with candidate: Father
Parents Date of Birth: 15 May 1970 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: Near ganesh mandir,vijay garden road ghodbunder road,thane west 400615
Country: India State: Maharashtra
City/District: Thane Pin: 400615
Tel: Mobile no.: 9820521987
Fax: Email: matiullakhan70@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Carmel High School School: Vasant Vihar High School And Junior College
City: Thane City: Thane
English %: 62 Board Roll No./Seat No.:
Aggregate Percentage: 64 School/College Code:
  Address of School/College: Vasant vihar high school and junior college, pokhran road-2,thane west
  Centre code:
  Pin: 400610
  Contact Nos:
  Email: vasantviharschool@gaet.edu.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 ?: join a body class join swimming class learn how to play guitar learn a new language
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical science is a course with vast subjects and knowledge and as a student I am somebody who loves to learn new things and i love being on ship and what career is better than nautical science.
Why do you wish to join TMI?: I wish to join TMI as it is one of the best institutes offering the course in the country. Through the detailed study at this institute, I will be able to polish and enhance my existing skill. I also believe it will help me in applying my learn new things in full capacity and will give me a push to think out the box. Additionally, through this program, I want to be more confident in channelizing leadership and communication quality. I believe this program will also give me exposure to the ground reality of the industry apart from academics. Through this in-depth study, I might explore unexplored liking towards the field of study.
What are your hobbies?: Drawing,playing badminton,cooking
What are your strengths?: leadership quality,communication
What are your weaknesses?: I have a trouble saying no,I focus too much on details,
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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