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: DEG2186554 Name: shaikh mohammed vaqar mohammed gaus
  Address: FLAT NO.603, 5D, PATLIPUTRA NAGAR, MHB BLDG.NEXT TO OSHIWARA BUS DEPOT, OSHIWARA LINK ROAD, JOGESHWARI WEST
Telephone No.: 00917738235127 Mobile no: 9867621266
E-mail: vaqars07@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 438924533
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186554 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: DEG2186554
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: shaikh mohammed vaqar mohammed gaus
Mother's Name: sabira bi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Feb 2004 Nationality: Indian
Place of Birth: Dubai Personal Identification Mark: none
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 11 Feb 2004 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : shaikh mohammed vaqar Passport No.: T2931178
Date of Expiry: 10 Feb 2022 Place of Issue: MUMBAI
(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.603, 5D, PATLIPUTRA NAGAR, MHB BLDG.NEXT TO OSHIWARA BUS DEPOT, OSHIWARA LINK ROAD, JOGESHWARI WEST
State: Maharashtra Country: India
Pin: 400102 City/District: MUMBAI
Mobile no: 9867621266 Telephone No. with STD code: 00917738235127
Aadhar Card No:649157696585 E-mail: vaqars07@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MOHAMMEDGAUS MOHAMMED SALEEM Relationship with candidate: FATHER
Parents Date of Birth: 06 Jun 1996 Parent's/Guardian's Occupation/Designation: ACCOUNTANT
   
Office Address:
   
Address: FLAT NO.603, 5D PATLIPUTRA NAGAR, MHB BLDG.NEXT TO OSHIWARA BUS DEPOT, OSHIWARA LINK ROAD, JOGESHWARI WEST
Country: India State: Maharashtra
City/District: MUMBAI Pin: 400102
Tel: 00917738235127 Mobile no.: 7738235127
Fax: Email: Mgaus_2000@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: SMT RAJRANI MALHOTRA VIDYALAYA School: LORDS UNIVERSAL JUNIOR COLLEGE OF COMMERCE AND SCIENCE
City: MUMBAI City: MUMBAI
English %: 63 Board Roll No./Seat No.:
Aggregate Percentage: 60 School/College Code:
  Address of School/College: TOPIWALA MARG, OFF STATION ROAD, GOREGAON WEST
  Centre code:
  Pin: 400104
  Contact Nos: 7738235127
  Email: Mgaus_2000@yahoo.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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2015 100 METRE FLAT RACE INTRA SCHOOL 2ND
12/2016 100 METRE FLAT RACE INTRA SCHOOL 2ND
12/2017 RELAY 400 METRE INTRA SCHOOL 1ST
12/2017 200 METRE INTRA SCHOOL 1ST
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2014 road safety patrol 4 years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would play football and explore new places
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i want to join TMI because it has good scope in future and also interested in ocean
Why do you wish to join TMI?: it is a well known institute in india and will provide me with good opportunities in future.
What are your hobbies?: football
What are your strengths?: i am an independent individual
What are your weaknesses?: i dont like socializing
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport 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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