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: DEG2186973 Name: ABDUL RAHMAN ANSARI
  Address: Noniya Patti Padrauna kushinagar Near Railway station Padrauna
Telephone No.: 8858410363 Mobile no: 8858410363
E-mail: rahmanabdulansari10@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 441301522
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186973 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: DEG2186973
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ABDUL RAHMAN ANSARI
Mother's Name: RUKSANA KHATOON
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Oct 2002 Nationality: INDIAN
Place of Birth: PADRAUNA Personal Identification Mark: cut mark over left eye under the eyebrow
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 02 Oct 2002 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : ABDUL RAHMAN ANSARI Passport No.: V1186562
Date of Expiry: 18 May 2031 Place of Issue: LUCKNOW
(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: Noniya Patti Padrauna kushinagar Near Railway station Padrauna
State: Uttar Pradesh Country: India
Pin: 274304 City/District: PADRAUNA KUSHINAGAR
Mobile no: 8858410363 Telephone No. with STD code: 8858410363
Aadhar Card No:672618784857 E-mail: rahmanabdulansari10@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RUKSANA KHATOON Relationship with candidate: SON
Parents Date of Birth: 01 Jan 1971 Parent's/Guardian's Occupation/Designation: HOUSE WIFE
   
Office Address:
   
Address: Noniya Patti Padrauna kushinagar Near Railway station Padrauna
Country: India State: Uttar Pradesh
City/District: PADRAUNA KUSHINAGAR Pin: 274304
Tel: 08858410363 Mobile no.: 9936374067
Fax: Email: rahmanabdulansari10@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: ST XAVIERS HIGH SCHOOL School: ST XAVIERS SENIOR SECONDARY SCHOOL
City: PADRAUNA KUSHINAGAR City: PADRAUNA
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: DARBAR ROAD PADRAUNA KUSHINAGAR
  Centre code:
  Pin: 274304
  Contact Nos:
  Email: xaviers.padrauna@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2018 CRICKET ZONE WINNER
08/2018 BADMINTON DISTRICT WINNER
11/2019 BADMINTON DISTRICT WINNER
11/2019 FOOTBALL INTER SCHOOL COMPEDITION WINNER
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: BY REVISING CLASS 11TH AND 12TH FOR PREPARATION OF MERCHANT NAVY SPONSORSHIP AND FOR IMUCET 2021 ALSO.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BY THE DEGREE OF BSC NAUTICAL SCIENCE I CAN JOIN MERCHANT NAVY.
Why do you wish to join TMI?: I HAS GREAT PLACEMENT RECORD. GREAT FACULTY, BEAUTIFUL CAMPUS AND HOSTEL FACILITIES ARE GOOD.
What are your hobbies?: PLAYING CRICKET AND BADMINTON. I ALSO LIKE CYCLING.
What are your strengths?: I AM OPTIMISTIC IN NATURE. I HAVE A POSITIVE ATTITUDE, AND I AM A MULTITASKER.
What are your weaknesses?: I AM NOT COMFORTABLE UNTIL I FINISH MY WORK IN A GIVEN TIME. I AM ALSO A HAVING PROBLEM IN SAYING NO THE PEOPLE.
How do you intend to meet the expenses of this program?: Bank Loan
 
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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