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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shamnad tp
Mother's Name: Aleema
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Aug 2002 Nationality: Indian
Place of Birth: Edapal Personal Identification Mark: Black mole on right jaw
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 15 Aug 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Shamnad Passport No.: 9876450
Date of Expiry: 02 May 2031 Place of Issue: Kozhikode
(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: Thekkepeediyakkal house Paikannur po Pandikasala malappuram kerala
State: Kerala Country: India
Pin: 679571 City/District: Valanchery
Mobile no: 9656376088 Telephone No. with STD code:
Aadhar Card No:565143355130 E-mail: shamnadtp2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Abdul samad Relationship with candidate: Father
Parents Date of Birth: 31 May 1970 Parent's/Guardian's Occupation/Designation: Abroad
   
Office Address:
   
Address: Thekkepeediyakkal House Painkannur p o Pandikasala
Country: India State: Kerala
City/District: Valanchery Pin: 679571
Tel: Mobile no.: 9846330028
Fax: Email: aleemasamad48@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Mes hss School: Vhss valanchery
City: Valanchery City: Valanchery
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Address of School/College: valanchery Vaikathoor Malappuram kerala
  Centre code:
  Pin: 676552
  Contact Nos:
  Email: hmvhssvalanchery@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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

 

___________________

Date ________________

 
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