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: DEG2187724 Name: Zaharul Alam
  Address: Kuli kandi, Murshidabad , west bengal Kuli kandi, Murshidabad , west bengal
Telephone No.: 08746060900 Mobile no: 8746060900
E-mail: rumzi4ever@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 440299648
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187724 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: DEG2187724
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Zaharul Alam
Mother's Name: Jahanara bagum
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Oct 2002 Nationality: Indian
Place of Birth: Kuli kandi Personal Identification Mark: Birth mark on neck
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 23 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: Kuli kandi, Murshidabad , west bengal Kuli kandi, Murshidabad , west bengal
State: West Bengal Country: India
Pin: 742168 City/District: Behrampur
Mobile no: 8746060900 Telephone No. with STD code: 08746060900
Aadhar Card No: E-mail: rumzi4ever@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Samsul Alam Relationship with candidate: Father
Parents Date of Birth: 10 Dec 1970 Parent's/Guardian's Occupation/Designation: PWD supervisor
   
Office Address:
   
Address: Kuli kandi, Murshidabad , west bengal Kuli kandi, Murshidabad , west bengal
Country: India State: West Bengal
City/District: Behrampur Pin: 742168
Tel: 08746060900 Mobile no.: 8746060900
Fax: Email: rumzi4ever@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Army public school narangi School: Army public school narangi
City: Guwahati City: Guwahti
English %: 89 Board Roll No./Seat No.: 16616646
Aggregate Percentage: 88 School/College Code: 35093
  Address of School/College: Satgoan , Guwahati ,assam
  Centre code: 3624
  Pin: 781171
  Contact Nos:
  Email: apsnarangi@gmail.com
  Aggregate Percentage: 77
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 88 88
Mathematics 100 45 45
Physics, Chemistry & Mathematics combined Percentage: 68.67
English 100 85 85
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning new skills
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: For more knowledge
Why do you wish to join TMI?: It is a reputed institute
What are your hobbies?: Painting and playing cricket
What are your strengths?: Truth and determination
What are your weaknesses?: I trust people easily
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet
 
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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