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.Tech. Marine Engineering
Dossier ID: DEG2187880 Name: Mohd huzaifa
  Address: Kaziyana nasirabad Raebareli
Telephone No.: Mobile no: 7081977164
E-mail: mohuzaifa079@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1229 (Includes Convenience fee of ₹ 29.0 ) DD Number: -
Issuing Bank: - Transaction Id: 440446907
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187880 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.Tech. Marine Engineering
Dossier ID: DEG2187880
 
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: Mole on right elbow
Blood Group: AB +  
 
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: Kaziyana nasirabad Raebareli
State: Uttar Pradesh Country: India
Pin: 229001 City/District: Raebareli
Mobile no: 7081977164 Telephone No. with STD code:
Aadhar Card No: E-mail: mohuzaifa079@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohd sayeed Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1971 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Kaziyana Nasirabad
Country: India State: Uttar Pradesh
City/District: Raebareli Pin: 229001
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.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: Sultanpur road near rahi village raebareli
  Centre code:
  Pin: 229001
  Contact Nos:
  Email: mohuzaifa079@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 73 73
Mathematics 100 77 77
Physics, Chemistry & Mathematics combined Percentage: 74.67
English 100 81 81
   
IMU CET Application Number: 6003629  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation of exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because i am interested in merchant navy
Why do you wish to join TMI?: Because it is best institute of marine in India
What are your hobbies?: Football
What are your strengths?: 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 Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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