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: DEG2187342 Name: EHTESHAM AHMED MASOOD AHMED
  Address: BESIDE RAFAYYA MASJID, HANUMAN MANDIR ROAD SHRINAGAR NANDED
Telephone No.: Mobile no: 7264880223
E-mail: ehteshamshaikh7777@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: 439913916
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187342 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: DEG2187342
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: EHTESHAM AHMED MASOOD AHMED
Mother's Name: NILOFAR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jul 2003 Nationality: INDIAN
Place of Birth: NANDED Personal Identification Mark: A MOLE ON NOSE
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 01 Jul 2003 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: BESIDE RAFAYYA MASJID, HANUMAN MANDIR ROAD SHRINAGAR NANDED
State: Maharashtra Country: India
Pin: 431605 City/District: NANDED
Mobile no: 7264880223 Telephone No. with STD code:
Aadhar Card No:869340635145 E-mail: ehteshamshaikh7777@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MASOOD AHMED Relationship with candidate: FATHER
Parents Date of Birth: 07 Jul 1967 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: ADARSH GAS AGENCY SNEH NAGAR NANDED
Country: India State: Maharashtra
City/District: NANDED Pin: 431605
Tel: Mobile no.: 9130235937
Fax: Email: ehteshamshaikh7777@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: 45058-GYAN MATA VIDYA VIHAR NASRATPUR NANDED DT MR School: SANA HIGHER SECONDARY SCHOOL
City: NANDED City: NANDED
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: NOMANIYA NAGAR, TARODA BK., NANDED
  Centre code:
  Pin: 431605
  Contact Nos: 09130235937
  Email: ehteshamshaikh7777@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
08/2016 FOOTBALL STATE LEVEL PARTICIPATION
08/2017 FOOTBALL DISTRICT LEVEL RUNNER UP
12/2018 ATHLETICS SCHOOL LEVEL GOLD MEDAL
08/2019 FOOT BALL DISTRICT LEVEL PARTICIPATION
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL WORK ON MYSELF LIKE I WILL MAKE MY COMMUNICATION SKILLS STRONG
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BECAUSE I LIKE TO VISIT VARIOUS COUNTRIES AND I LIKE ADVENTURE IN LIFE, SO THIS JOB GIVES ME EVERYTHING WHAT I WANT IN LIFE.
Why do you wish to join TMI?: BECAUSE IT IS THE BEST INSTITUTE FOR MARINE ENGINEERING IN INDIA AND IT GIVES GOOD EDUCATIONAL AS WELL AS JOB OPPORTUNITIES.
What are your hobbies?: PLAYING FOOTBALL AND OTHER GAMES
What are your strengths?: I HAVE GOOD LEADERSHIP QUALITIES AND I DO MY WORK WITH DEDICATION.
What are your weaknesses?: I FEEL SHY AT PARTIES
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 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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