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: DEG2188666
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHAMMAD SHADAAN
Mother's Name: PARVEEN BANO
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Dec 2003 Nationality: INDIAN
Place of Birth: HOSPITAL Personal Identification Mark: BIRTH MARK ON RIGHT SHOULDER
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 02 Dec 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: 123, SHASTRI NAGAR, AKBARPUR, WARD no. 11, AKBARPUR, AMBERKAR NAGAR, UTTAR PRADESH-224122
State: Uttar Pradesh Country: India
Pin: 224122 City/District: AMBERKAR NAGAR
Mobile no: 8090857526 Telephone No. with STD code:
Aadhar Card No:761433512474 E-mail: shadaan576sidd@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PARVEEN BANO Relationship with candidate: MOTHER
Parents Date of Birth: 13 Jul 1968 Parent's/Guardian's Occupation/Designation: GOVERNMENT TEACHER
   
Office Address:
   
Address: COMPOSITE U.P.S. GADAYAN, AKBARPUR, AMBEDKAR NAGAR
Country: India State: Uttar Pradesh
City/District: AMBEDKAR NAGAR Pin: 224122
Tel: Mobile no.: 8090857526
Fax: Email: perveen8090khan@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: HIGHER SECONDARY School: HIGHER SECONDARY
City: AMBEDKAR NAGAR City: AKBARPUR
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Address of School/College: IN FRONT GANDHI ASHRAM, ALBARPUR, AMBEDKAR NAGAR
  Centre code:
  Pin: 224122
  Contact Nos:
  Email: perveen8090khan@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
09/2019 DEBATE INTER SCHOOL 1
09/2018 DECLAMATION INTER SCHOOL 1
09/2021 ACTING INTER SCHOOL 1
09/2019 CRICKET INTER SCHOOL 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: My class XII final exams were cancelled due to pandemic situation all over country. I had lots of free time, so I started revising my class XII course for further preparations. I also used my time doing workouts and reading about few great personalities.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I always dreamed of joining merchant navy, and become a merchant naval officer. So I think B.sc Nautical Science is best option.
Why do you wish to join TMI?: TMI is the best university for Nautical Science course, and everyone wish to join the best college, so do I.
What are your hobbies?: Playing cricket, football, doing acting, gaining knowledge.
What are your strengths?: Support from my family, my confidence, positive attitude.
What are your weaknesses?: No weakness.
How do you intend to meet the expenses of this program?: Other - according to situation.
 
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 ________________