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.Sc. Nautical Science
Dossier ID: DEG2189406 Name: Md Adil Parwez
  Address: C O late M H ANSARI SANGI MASJID PHULWARI SHARIF PATNA
Telephone No.: Mobile no: 8541088000
E-mail: dlprwz@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2189406 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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.Sc. Nautical Science
Dossier ID: DEG2189406
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Md Adil Parwez
Mother's Name: Afroz Jahan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Jul 2003 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: V mark on forehead
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 28 Jul 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: C O late M H ANSARI SANGI MASJID PHULWARI SHARIF PATNA
State: Bihar Country: India
Pin: 801505 City/District: PATNA
Mobile no: 8541088000 Telephone No. with STD code:
Aadhar Card No:536112990007 E-mail: dlprwz@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Md Parwez Alam Relationship with candidate: Father
Parents Date of Birth: 02 May 1971 Parent's/Guardian's Occupation/Designation: Business man
   
Office Address:
   
Address: C O LATE M H ANSARI SANGI MASJID Phulwari Sharif Patna
Country: India State: Bihar
City/District: Patna Pin: 800020
Tel: Mobile no.: 9835015545
Fax: Email: dlprwz@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DR D Y PATIL PUSHAPALATA PATIL INT SCHOOL School: DR D Y PATIL PUSHAPALATA PATIL INTERNATIONAO SCHOOL
City: Patna City: Patna
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Address of School/College: Barahmpur , Jaganpura new bypass lane , ka karbhagh patna 27
  Centre code:
  Pin: 800027
  Contact Nos:
  Email: ddypppis@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
02/2019 100mtr sprint Interschool 2nd
02/2019 200mtr sprint Interschool 3rd
02/2019 Long Jump Interschool 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning to code with python and use it at basic level
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it is going to give me an opportunity to take me dream job . I have always wondered sailing all around the globe and this degree will act as a gateway for my dream come true
Why do you wish to join TMI?: So as to join merchant navy.
What are your hobbies?: Cycling , jogging
What are your strengths?: My determination is my biggest strength.
What are your weaknesses?: My weakness is that i think a lot
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

 

___________________

Date ________________

 
Print Summary and Application Form