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: DEG2188209 Name: Afroz mujeeb Sharif
  Address: Janata plot masur cross Near painting garage Kumta
Telephone No.: Mobile no: 9916470286
E-mail: afrozsharif91@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: 13579521309
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188209 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: DEG2188209
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Afroz mujeeb Sharif
Mother's Name: Noorjahan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Apr 2002 Nationality: Indian
Place of Birth: India Personal Identification Mark: Birth mark on left side eye
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 07 Apr 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Afroz mujeeb Passport No.: BN79C5018735121
Date of Expiry: 05 Jul 2031 Place of Issue: Bengaluru
(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: Janata plot masur cross Near painting garage Kumta
State: Karnataka Country: India
Pin: 581343 City/District: Kumta
Mobile no: 9916470286 Telephone No. with STD code:
Aadhar Card No:529745103200 E-mail: afrozsharif91@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mujeeb Sharif Relationship with candidate: Father
Parents Date of Birth: 23 Oct 1973 Parent's/Guardian's Occupation/Designation: Painter
   
Office Address:
   
Address: Usman arts and service Janata plot kumta
Country: India State: Karnataka
City/District: Kumta Pin: 581343
Tel: Mobile no.: 9886663717
Fax: Email: mujeebsharif91@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: Morarji Desai residential school kumta School: Shivaji Pre University arts commerce and science College
City: Kumta City: Karwar
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: Baad, Karwar
  Centre code:
  Pin: 581304
  Contact Nos: 08382223818
  Email: shivajicollege@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 ?: Reading books nd playing the games
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Future
Why do you wish to join TMI?: Placement is good
What are your hobbies?: Playing games, reading books,bike riding,travel
What are your strengths?: Positive, creativity, leadership skills,,risk taker, problem solving
What are your weaknesses?: Sf criticism,perfectionism
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

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Date ________________

 
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