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.Sc. Nautical Science
Dossier ID: DEG2179795 Name: Afjal siddique
  Address: Harfora rampur mahuabari, deoria Sahid nagar, deoria Rampur mahuabari, deoria
Telephone No.: Mobile no: 9670091753
E-mail: afjalsiddique324@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430765602
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2179795 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.Sc. Nautical Science
Dossier ID: DEG2179795
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Afjal siddique
Mother's Name: Farida khatoon
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 May 2002 Nationality: Indian
Place of Birth: Harfora Personal Identification Mark: Right hand has mark
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 08 May 2002 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: Harfora rampur mahuabari, deoria Sahid nagar, deoria Rampur mahuabari, deoria
State: Uttar Pradesh Country: India
Pin: 274401 City/District: Deoria
Mobile no: 9670091753 Telephone No. with STD code:
Aadhar Card No: E-mail: afjalsiddique324@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mainullah Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1968 Parent's/Guardian's Occupation/Designation: Agriculture
   
Office Address:
   
Address: Harfora rampur mahuabari, deoria Sahid nagar, deoria Rampur mahuabari, deoria
Country: India State: Uttar Pradesh
City/District: Deoria Pin: 274401
Tel: Mobile no.: 9918505437
Fax: Email: afjalsiddique324@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Deoria senior secondary school School: Deoria senior secondary school
City: Deoria City: Deoria
English %: 85 Board Roll No./Seat No.: 23618319
Aggregate Percentage: 84 School/College Code: 70306
  Address of School/College: Harfora rampur mahuabari, deoria Sahid nagar, deoria Rampur mahuabari, deoria
  Centre code: 7060
  Pin: 274401
  Contact Nos: 09918505437
  Email: afjalsiddique324@gmail.com
  Aggregate Percentage: 74
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 89 89
Mathematics 100 53 53
Physics, Chemistry & Mathematics combined Percentage: 71.33
English 100 79 79
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I has joined computer class for CCC program.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because in this field there is good money and also it improve my life style.
Why do you wish to join TMI?: Because it is very good Institute and it has all facilities that is required for a student.
What are your hobbies?: Playing cricket, football .
What are your strengths?: I am fit.
What are your weaknesses?: Sleeping
How do you intend to meet the expenses of this program?: Own Resources,Other - Relatives
 
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

 

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Date ________________

 
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