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: DEG2185680 Name: Amir alam
  Address: Gkp complex E-wing flat no E/7 near union bank khobra waddo calangute bardez goa Gkp complex E-wing flat no E/7 near union bank khobra waddo calangute bardez goa
Telephone No.: Mobile no: 7387165680
E-mail: amiralam399@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 DEG2185680 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: DEG2185680
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Amir alam
Mother's Name: Rehana khatoon
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2001 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: No
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 01 Jan 2001 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: Gkp complex E-wing flat no E/7 near union bank khobra waddo calangute bardez goa Gkp complex E-wing flat no E/7 near union bank khobra waddo calangute bardez goa
State: Goa Country: India
Pin: 403516 City/District: North goa
Mobile no: 7387165680 Telephone No. with STD code:
Aadhar Card No: E-mail: amiralam399@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Md jassimuddin Relationship with candidate: Father
Parents Date of Birth: 04 Jun 1974 Parent's/Guardian's Occupation/Designation: Business man
   
Office Address:
   
Address: Gkp complex flat no E/7 ewing khobra waddo Gkp complex flat no E/7 ewing khobra waddo
Country: India State: Goa
City/District: North goa Pin: 403516
Tel: Mobile no.: 8308786439
Fax: Email: amiralam399@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020 (Appearing for improvement)
Board: Goa Board: Goa
School: Little flower of jesus high school School: DMs PVS Kushe higher secondary school
City: Calangute City: Mapusa
English %: 67 Board Roll No./Seat No.: 54979
Aggregate Percentage: 67 School/College Code: HS011
  Address of School/College: Assagao
  Centre code: 07MAPUSA
  Pin: 403507
  Contact Nos:
  Email: amiralam399@gmail.com
  Aggregate Percentage: 62
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 58 58
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 62
English 100 52 52
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Watching movies and studying
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because this course is made for me
Why do you wish to join TMI?: It is the best college i know
What are your hobbies?: To watch anime
What are your strengths?: Very positive
What are your weaknesses?: To say no
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded 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

 

___________________

Date ________________

 
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