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: DEG2180660 Name: KACHWALA HUSSAIN JUZER
  Address: SURYA RESIDENCY FLT NO.07 MITHANAGAR KONDHWA PUNE
Telephone No.: Mobile no: 7721079977
E-mail: kachwalahussain00@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431751701
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2180660 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: DEG2180660
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KACHWALA HUSSAIN JUZER
Mother's Name: TASNEEM
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 May 2002 Nationality: INDIAN
Place of Birth: PUNE Personal Identification Mark: MOLE ON UPPER LIPS
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 01 May 2002 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : HUSSAIN JUZER Passport No.: T0302328
Date of Expiry: 18 Dec 2028 Place of Issue: PUNE
(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: SURYA RESIDENCY FLT NO.07 MITHANAGAR KONDHWA PUNE
State: Maharashtra Country: India
Pin: 411048 City/District: Pune
Mobile no: 7721079977 Telephone No. with STD code:
Aadhar Card No:536303672198 E-mail: kachwalahussain00@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JUZER Relationship with candidate: FATHER
Parents Date of Birth: 26 Apr 1978 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: SHOP NO.04 OPPOSITE CORINTHAN CLUB PUNE
Country: India State: Maharashtra
City/District: Pune Pin: 444303
Tel: Mobile no.: 7721079977
Fax: Email: kachwalahussian00@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: BADRIYAH HIGH SCHOOL School: N.R.KHAN
City: Pune City: PUNE
English %: 47 Board Roll No./Seat No.: P017144
Aggregate Percentage: 55 School/College Code: 1105030
  Address of School/College: MITHANAGAR KONDHWA
  Centre code: 0048
  Pin: 411048
  Contact Nos:
  Email: kachwalahussian00@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 68 68
Mathematics 100 69 69
Physics, Chemistry & Mathematics combined Percentage: 70
English 100 66 66
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will grab more and more knowledge about merchant navy and enhance my skills needed in this field
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: If not shortlisted for dns programme bsc nautical science is the best option for me
Why do you wish to join TMI?: It is the most reputed and best institue in the whole world and i want to be a part of the best
What are your hobbies?: playing cricket
What are your strengths?: my positive attitude towards my work
What are your weaknesses?: i become restless when my work is incomplete
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card 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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