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: DEG2176645 Name: MOHAMMED FAYAS
  Address: Pudukkidi House Puthupparamba Edarikode
Telephone No.: Mobile no: 9048803270
E-mail: fayaspmohammed@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 434420728
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2176645 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.Sc. Nautical Science
Dossier ID: DEG2176645
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHAMMED FAYAS
Mother's Name: UMMU HABEEBA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Dec 2002 Nationality: INDIA
Place of Birth: Nursing Hom Personal Identification Mark: Under muscle
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 02 Dec 2002 Nationality: INDIA
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: Pudukkidi House Puthupparamba Edarikode
State: Kerala Country: India
Pin: 676501 City/District: Kottakkal city MALAPPURAM dist
Mobile no: 9048803270 Telephone No. with STD code:
Aadhar Card No:605132736563 E-mail: fayaspmohammed@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: KUNHIMOHAMMED Relationship with candidate: Father
Parents Date of Birth: 31 May 1973 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Pudukkidi House Puthupparamba Edarikode
Country: India State: Kerala
City/District: Kottakkal city MALAPPURAM dist Pin: 676501
Tel: Mobile no.: 9539096009
Fax: Email: fayaspmohammed@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: SACRED HEART SENIOR SECONDARY SCHOOL School: PKMM HIGHER SECONDARY SCHOOL
City: KOTTAKKAL City: Kottakkal city MALAPPURAM dist
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Address of School/College: Pkmm Higher secondary School Edarikode, Malappuram
  Centre code:
  Pin: 676501
  Contact Nos: 09539096009
  Email: fayaspmohammed@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
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
11/2019 Cricket Participate in school level and district level I got good position in every games
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Spend time for entrance exam preparations
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Bsc Nautical Science
Why do you wish to join TMI?: Tolani Maritime University is the one of best university in India so I wish to join at TMI
What are your hobbies?: Reading, Playing Football and other games, Jogging
What are your strengths?: If I do anything, I do it in proper way also I can catchup things easily
What are your weaknesses?: Taking overtime for studying
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

 

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Date ________________

 
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