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: DEG2180979
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohd Umar Khan
Mother's Name: Zarin khan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Nov 2002 Nationality: INDIAN
Place of Birth: Lucknow Personal Identification Mark: Tattoo on forearm
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 30 Nov 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: FLAT NO.106, BCC GRAVITY APARTMENT NEAR TIKAT RAI TALAB MOHAN ROAD,BULAKI ADDA.
State: Uttar Pradesh Country: India
Pin: 226014 City/District: LUCKNOW
Mobile no: 8299344075 Telephone No. with STD code:
Aadhar Card No:936640295421 E-mail: umar3011emir@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MOHD AHTRAM KHAN Relationship with candidate: FATHER
Parents Date of Birth: 15 Mar 1972 Parent's/Guardian's Occupation/Designation: SERVICE/FITTER
   
Office Address:
   
Address: 401 OLYMPIA POWAI
Country: India State: Maharashtra
City/District: MUMBAI Pin: 400076
Tel: Mobile no.: 9450364446
Fax: Email: ahtramkhan72@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: NIOS
School: RAJ KUMAR ACADEMY School: NIOS
City: LUCKNOW City: LUCKNOW
English %: 73 Board Roll No./Seat No.: 210596193092
Aggregate Percentage: 60 School/College Code: 118464
  Address of School/College: -
  Centre code: 22119
  Pin: 226014
  Contact Nos: 18001206077
  Email: rcdehradun@nios.ac.in
  Aggregate Percentage: 62
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 65 65
Chemistry 100 67 67
Mathematics 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 63.33
English 100 61 61
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARING FOR SEA,TRAINING PHYSICALLY AND MENTALLY. ENHANCING ACADEMIC SKILLS.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: GREAT EMPLOYMENT OPPORTUNITIES IN THE FIELD OF RESEARCH AND DEVELOPMENT SECTOR.
Why do you wish to join TMI?: FOR GOOD PRE SEA TRAINING AND GOOD PLACEMENTS.
What are your hobbies?: WRITING,PAINTING.
What are your strengths?: LEADERSHIP QUALITY,OPTIMISM,HARD WORKING DURABILITY
What are your weaknesses?: BIGGEST CRITIC OF MY OWN WORK, NEVER SATISFIED ALWAYS LOOKING FOR BETTER.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded 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 ________________