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.Tech. Marine Engineering
Dossier ID: DEG2184833 Name: M mohamed sikkandhar
  Address: 4/2406 Main road thangachimadam Ramanathapuran
Telephone No.: 04571251 Mobile no: 9003552407
E-mail: bestchicka@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2184833 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.Tech. Marine Engineering
Dossier ID: DEG2184833
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: M mohamed sikkandhar
Mother's Name: Syed rabiya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Sep 2000 Nationality: Indian
Place of Birth: Ramanathapu Personal Identification Mark: A mole on left shoulder
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 19 Sep 2000 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: 4/2406 Main road thangachimadam Ramanathapuran
State: Tamil Nadu Country: India
Pin: 623529 City/District: Ramanathapuram
Mobile no: 9003552407 Telephone No. with STD code: 04571251
Aadhar Card No:559289675548 E-mail: bestchicka@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mansoor hameed Relationship with candidate: Father
Parents Date of Birth: 05 Jun 1996 Parent's/Guardian's Occupation/Designation: Labour
   
Office Address:
   
Address: Queen agency Rameswaram Ramnad district
Country: India State: Tamil Nadu
City/District: Ramandhapuram Pin: 623529
Tel: 04573 Mobile no.: 9443383416
Fax: 04573251 Email: Bestchicka@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya vidyalaya School: Kendriya vidyalaya
City: Rameswaram City: Mandapam camp
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 72 School/College Code:
  Address of School/College: Kendriya vidyalaya mandapam CMFRI ramandhapuram
  Centre code:
  Pin: 623526
  Contact Nos: 09443383416
  Email: Bestchicka@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: 09082003  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
06/2018 5 km walking Regional sports meet 3rd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: In playing and studying
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes i am interested in joining bsc nautical science
Why do you wish to join TMI?: It has job opportunity and after finishing course we can easily get job
What are your hobbies?: Playing and reading books
What are your strengths?: I look gud and my height is 6.1 and i am fearless
What are your weaknesses?: No weakness
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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