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.Sc. Nautical Science
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHD HUZAIFA
Mother's Name: NASREEN BANO
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Mar 2003 Nationality: INDIAN
Place of Birth: NASIRABAD Personal Identification Mark: A MOLE ON ELBOW
Blood Group: B -  
 
Date of Birth (DD/MM/YY): 07 Mar 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: qaziyana nasirabad qaziyana nasirabad
State: Uttar Pradesh Country: India
Pin: 229307 City/District: raebareli
Mobile no: 7081977164 Telephone No. with STD code:
Aadhar Card No: E-mail: shuzaifa079@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MOHD SAYEED Relationship with candidate: FATHER
Parents Date of Birth: 02 Jun 1971 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: qaziyana nasirabad qaziyana nasirabad
Country: India State: Uttar Pradesh
City/District: raebareli Pin: 229307
Tel: Mobile no.: 9984970746
Fax: Email: SHUZAIFA079@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Other Board: Other
School: RYAN INTERNATIONAL SCHOOL School: RYAN INTERNATIONAL SCHOOL
City: raebareli City: raebareli
English %: 74 Board Roll No./Seat No.: 7021365
Aggregate Percentage: 77 School/College Code: 9280105507
  Address of School/College: SULTANPUR ROAD NEAR RAAHI VILLAGE
  Centre code: 9280105507
  Pin: 229307
  Contact Nos: 09984970746
  Email: SHUZAIFA079@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 ?: preparing for exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: my passion
Why do you wish to join TMI?: it is best option for merchant navy
What are your hobbies?: football
What are your strengths?: my confidence
What are your weaknesses?: easily bored
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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

 

___________________

Date ________________