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.Tech. Marine Engineering
Dossier ID: DEG2189790 Name: Farhan Pathan
  Address: Mahadevopura near bajrang building ,rcp ward no 9 wardha 442001 maharashtra near itwara bazar near Abdul kalam garden
Telephone No.: 09975698755 Mobile no: 9975698755
E-mail: pfarhankhan03@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: 13687709371
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2189790 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.Tech. Marine Engineering
Dossier ID: DEG2189790
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Farhan Pathan
Mother's Name: Nazneen pathan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Dec 2002 Nationality: Indian
Place of Birth: Wardha city Personal Identification Mark: Shoulder scars
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 04 Dec 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Farhan khan pathan Passport No.: N2563332
Date of Expiry: 27 Sep 2020 Place of Issue: nagpur
(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: Mahadevopura near bajrang building ,rcp ward no 9 wardha 442001 maharashtra near itwara bazar near Abdul kalam garden
State: Maharashtra Country: India
Pin: 442001 City/District: Wardha city
Mobile no: 9975698755 Telephone No. with STD code: 09975698755
Aadhar Card No:434700742768 E-mail: pfarhankhan03@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Irshad khan pathan Relationship with candidate: Father
Parents Date of Birth: 28 Feb 1976 Parent's/Guardian's Occupation/Designation: Fruit merchant
   
Office Address:
   
Address: Mahadevopura near bajrang building ,rcp ward no 9 wardha maharashtra 442001
Country: India State: Maharashtra
City/District: Wardha city Pin: 442001
Tel: 07773901011 Mobile no.: 7773901011
Fax: Email: pfarhankhan03@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Other Board: Maharashtra
School: st antony national school School: late jijamata sabane
City: wardha City: wardha
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 66 School/College Code:
  Address of School/College: near bajrang building ward no 9 near best biryani centre
  Centre code:
  Pin: 442001
  Contact Nos: 9975698755
  Email: pfarhankhan03@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 ?: learning swimming ,and doing other physical activities
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: it is an emerging field with a massive scope of experimentation
Why do you wish to join TMI?: good placement records
What are your hobbies?: collecting foregin currencies
What are your strengths?: strong
What are your weaknesses?: not that good in playin sports
How do you intend to meet the expenses of this program?: Own Resources
 
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 ________________

 
Print Summary and Application Form