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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2185773 Name: Mohammad Rais
  Address: 331/3, Gali Number-22, Zakir Nagar, Okhla New Delhi-110025
Telephone No.: Mobile no: 8588056466
E-mail: raismohammad8719@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1229 (Includes Convenience fee of ₹ 29.0 ) DD Number: -
Issuing Bank: - Transaction Id: 438378752
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2185773 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2185773
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohammad Rais
Mother's Name: Ummey Farwa
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Oct 2002 Nationality: Indian
Place of Birth: New Delhi Personal Identification Mark: surgery marks on left elbow
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 09 Oct 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: 331/3, Gali Number-22, Zakir Nagar, Okhla New Delhi-110025
State: Delhi Country: India
Pin: 110025 City/District: New Delhi
Mobile no: 8588056466 Telephone No. with STD code:
Aadhar Card No:535389473122 E-mail: raismohammad8719@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mobin Akhtar Relationship with candidate: Father
Parents Date of Birth: 21 Mar 1961 Parent's/Guardian's Occupation/Designation: Civil Engineer
   
Office Address:
   
Address: 331/3, Gali number-22, Zakir Nagar, Okhla, New Delhi-110025
Country: India State: Delhi
City/District: South East Delhi Pin: 110025
Tel: Mobile no.: 8587928890
Fax: Email: mobinuna@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: The Frank Anthony Public School School: The Frank Anthony Public School
City: New Delhi City: NEW DELHI
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: The Frank Anthony Public School, Lajpat Nagar-4, New Delhi-110024
  Centre code:
  Pin: 110024
  Contact Nos:
  Email: raismohammad8719@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to tutor children of class 8th, 9th, 10th and 11th students in their studies and do some part time job.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I like it because it is interesting and it has its unique applications plus i will have some good career options.
Why do you wish to join TMI?: I wish to join TMI because I thrive in a collaborative environment, and I want to relish the opportunity to engage with other students.
What are your hobbies?: Reading, Cycling, Discovering new music, Running
What are your strengths?: Trustworthiness, Creativity, Discipline, Respectfulness
What are your weaknesses?: Public Speaking
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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