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.Sc. Nautical Science
Dossier ID: DEG2187894 Name: ARFAN
  Address: Flat no. 103,Ground floor, Asiya apartment, Nazneen park Flat no. 103,Ground floor, Asiya apartment, Nazneen park Flat no. 103,Ground floor, Asiya apartment, Nazneen park
Telephone No.: 8767187340 Mobile no: 8767187340
E-mail: arfanakkumbharlikar@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13688411357
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187894 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.Sc. Nautical Science
Dossier ID: DEG2187894
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ARFAN
Mother's Name: FOUZIA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Dec 2003 Nationality: INDIAN
Place of Birth: MIRAJ Personal Identification Mark: Mole on face
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 18 Dec 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : ARFAN ASHPAK KUMBHARLIKAR Passport No.: S0152946
Date of Expiry: 17 Dec 2021 Place of Issue: Mumbai
(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: Flat no. 103,Ground floor, Asiya apartment, Nazneen park Flat no. 103,Ground floor, Asiya apartment, Nazneen park Flat no. 103,Ground floor, Asiya apartment, Nazneen park
State: Maharashtra Country: India
Pin: 415605 City/District: Chiplun
Mobile no: 8767187340 Telephone No. with STD code: 8767187340
Aadhar Card No:256767474509 E-mail: arfanakkumbharlikar@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ASHPAK YUSUF KUMBHARLIKAR Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1975 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Asiya Apartment, Nazneen Park, Guhagar Naka Asiya Apartment, Nazneen Park, Guhagar Naka
Country: India State: Maharashtra
City/District: Chiplun Pin: 415605
Tel: 9822466211 Mobile no.: 9822466211
Fax: Email: ffouzia855@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: National English Medium School and Jr college School: National English Medium School and Jr college
City: Chiplun City: Chiplun
English %: 63 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Address of School/College: Flat no. 103,Ground floor, Asiya apartment, Nazneen park
  Centre code:
  Pin: 415605
  Contact Nos: 08767187340
  Email: arfanakkumbharlikar@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
07/2019 Wrestling high attacker
07/2019 kabaddi raider centre
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning Programming languages
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: The best part of pursuing a degree in BSc is great employment opportunities in the field of research and development sector.
Why do you wish to join TMI?: Because of its Quality education
What are your hobbies?: Learning Programming language
What are your strengths?: I am focused and goal oriented
What are your weaknesses?: Public speaking
How do you intend to meet the expenses of this program?: Own Resources
 
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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