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.Sc. Nautical Science
Dossier ID: DEG2174061 Name: Mohammed Taheed luqman
  Address: One town old post office vizag 24-27-13 24-27-13 one town old post office Vishakapatnam
Telephone No.: 8919132611 Mobile no: 8919132611
E-mail: taheed369@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment 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 DEG2174061 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.Sc. Nautical Science
Dossier ID: DEG2174061
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohammed Taheed luqman
Mother's Name: Mohammed Aisha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Mar 2004 Nationality: Indian
Place of Birth: Vizag Personal Identification Mark: Black spot
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 14 Mar 2004 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: One town old post office vizag 24-27-13 24-27-13 one town old post office Vishakapatnam
State: Andhra Pradesh Country: India
Pin: 530001 City/District: Vizag
Mobile no: 8919132611 Telephone No. with STD code: 8919132611
Aadhar Card No:432551426588 E-mail: taheed369@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohammed Luqman Relationship with candidate: Father
Parents Date of Birth: 20 Apr 1996 Parent's/Guardian's Occupation/Designation: Goverment Service
   
Office Address:
   
Address: 24-27-13 one town old poat office vizag 24-27-13 daragaroad kothavidhi
Country: India State: Andhra Pradesh
City/District: Vizag Pin: 530001
Tel: Mobile no.: 8919132611
Fax: Email: taheed369@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Andhra Pradesh Board: Andhra Pradesh
School: Sri Prakash School: Bvk
City: Vizag City: Vizagg
English %: 75 Board Roll No./Seat No.: 3698
Aggregate Percentage: 78 School/College Code: 530001
  Address of School/College: Seethammapetha Road Near, Seethammapetha Bus Stop, Seetamma Peta, Dwaraka Nagar, Visakhapatnam, Andhra Pradesh 530016
  Centre code: 22879
  Pin: 530001
  Contact Nos:
  Email: taheed369@gmail.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 74 49.33
Chemistry 150 75 50
Mathematics 300 255 85
Physics, Chemistry & Mathematics combined Percentage: 61.44
English 100 70 70
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
03/2018 Tennis Inter school Front
04/2021 Taikondo Inter state One on one
07/2018 Drawing Inter state State level
04/2016 Leadership School level School
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for imucet and Gyming
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it is full of challenges and exotic placess
Why do you wish to join TMI?: It is my dream clg and it is one of the best marine clgs
What are your hobbies?: Travelling and bodybuiding
What are your strengths?: My confidense
What are your weaknesses?: None
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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