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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2177607 Name: Maahin Afnaan Alam Khan
  Address: Plt. no. 36 B.B. Colony, Kalamna Road, kamptee Near Life line Hospital
Telephone No.: Mobile no: 7666983774
E-mail: khanmaahin20@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: 428300045
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2177607 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2177607
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Maahin Afnaan Alam Khan
Mother's Name: Rehana T Khan
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Apr 2003 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: Mole on neck
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 20 Apr 2003 Nationality: Indian
Gender (M/F): Female 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: Plt. no. 36 B.B. Colony, Kalamna Road, kamptee Near Life line Hospital
State: Maharashtra Country: India
Pin: 441002 City/District: Nagpur
Mobile no: 7666983774 Telephone No. with STD code:
Aadhar Card No:780450950238 E-mail: khanmaahin20@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rehana T Khan Relationship with candidate: Mother
Parents Date of Birth: 05 Jan 1983 Parent's/Guardian's Occupation/Designation: Homemaker
   
Office Address:
   
Address: Plt. no. 36 B.B. Colony, Kalamna Road, kamptee Near Life line Hospital
Country: India State: Maharashtra
City/District: Nagpur Pin: 441002
Tel: Mobile no.: 8390098111
Fax: Email: khanmaahin20@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Delhi Public School School: Indian Olympiad School
City: Nagpur City: Nagpur
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 72 School/College Code:
  Address of School/College: Plt. no. 36 B.B. Colony, Kalamna Road, kamptee Near Life line Hospital
  Centre code:
  Pin: 441002
  Contact Nos: 8390098111
  Email: khanmaahin20@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 ?: Study aboout nautics and universe
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have been always intrested in this feild and want to achieve my graduation in this.
Why do you wish to join TMI?: It has been my childhood dream
What are your hobbies?: Sports and space study
What are your strengths?: Athletic and other sports
What are your weaknesses?: not as such
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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