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: DEG2188914 Name: FURQANUZ ZAMAN KHAN
  Address: VILL- SHAMSABAD PO- MAIGRA PS- IMAMGANJ
Telephone No.: Mobile no: 8292070373
E-mail: furqanuzzamankhan35@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 441443086
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188914 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: DEG2188914
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: FURQANUZ ZAMAN KHAN
Mother's Name: SARWARI KHANAM
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Feb 2003 Nationality: INDIAN
Place of Birth: SHAMSABAD Personal Identification Mark: BLACK SPOT ON CHEEK
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 04 Feb 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: VILL- SHAMSABAD PO- MAIGRA PS- IMAMGANJ
State: Bihar Country: India
Pin: 824206 City/District: GAYA
Mobile no: 8292070373 Telephone No. with STD code:
Aadhar Card No:916125041996 E-mail: furqanuzzamankhan35@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AJMERUZ ZAMAN KHAN Relationship with candidate: FATHER
Parents Date of Birth: 02 Aug 1972 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: VILL- SHAMSABAD PO- MAIGRA PS- IMAMGANJ
Country: India State: Bihar
City/District: GAYA Pin: 824206
Tel: Mobile no.: 9973696242
Fax: Email: ajmeruzzamankhan35@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Bihar
School: 50037-AL-MOMIN INTNL SCHOOL School: MIRZA GALIB COLLEGE GAYA
City: GAYA City: GAYA
English %: 75 Board Roll No./Seat No.: 20010428
Aggregate Percentage: 71 School/College Code: 21005
  Address of School/College: WHIT HOUSE GAYA
  Centre code: 21001
  Pin: 823001
  Contact Nos:
  Email: mgcprincipalgaya@gmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 62 62
Chemistry 100 63 63
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 62.33
English 100 80 80
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: 1. READING AND WRITTING. 2. PREAPERING FOR IMUCET, SPONSORSHIP AND TMISAT.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I THINK NAUTICAL SCIENCE IS ALWAYS GOOD OPTION FOR ANYONE WHO IS LOOKING TO BE IN THE SHIPPING INDUSTRY AND SAIL THE WORLD AT LARGE AND WHO ARE INTO THIS FIELD ARE LIVING IT ITS INTERESTING AND CHALENGES YOUR ALL SENSES.
Why do you wish to join TMI?: TMI IS THE BEST INSTITUTE IN INDIA OR EVEN ASIA FOR MARINE COURSES. AND ALSO EVERY CADET STUDING HERE WILL BE CURSING FOR PHYSICAL TRAINING, HECTIC SCHEDULES, PLACEMENT ETC.
What are your hobbies?: PLAYING CRICKET
What are your strengths?: PREPARATION
What are your weaknesses?: STRONG WILLED
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 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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