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: Name: Shehzad khan
  Address: Badhaiyo wala chowk Madar darwaja
Telephone No.: 07454857054 Mobile no: 7454857054
E-mail: shehzad12y@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Online
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shehzad khan
Mother's Name: Shama parveen
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Jan 2004 Nationality: Indian
Place of Birth: BULANDSHAHR Personal Identification Mark: No
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 03 Jan 2004 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: Badhaiyo wala chowk Madar darwaja
State: Uttar Pradesh Country: India
Pin: 203131 City/District: KHURJA
Mobile no: 7454857054 Telephone No. with STD code: 07454857054
Aadhar Card No:8503518920356 E-mail: shehzad12y@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mrs shama parveen Relationship with candidate: Mother
Parents Date of Birth: 26 Jul 1980 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: Badhaiyo wala chowk Madar darwaja
Country: India State: Uttar Pradesh
City/District: KHURJA Pin: 203131
Tel: 07454857054 Mobile no.: 7454857054
Fax: Email: shehzad12y@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: NR PUBLIC SCHOOL School: NR PUBLIC SCHOOL
City: KHURJA City: BULANDSHAHR
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: JUNCTION RD KHURJA BULANDSHER UP
  Centre code:
  Pin: 203131
  Contact Nos:
  Email: shehzad12y@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 ?: I spend my lot of time to know the new thing. In this period I learn so many things.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: When I was in class 11. I hear about this profession and at that time I am deciding to go in this profession.
Why do you wish to join TMI?: Because TMI give the best environment and faculty for learning about mercant navy.
What are your hobbies?: my hobbies is known the new things
What are your strengths?: I am very hard working and my curiosity to doing work is my strength.
What are your weaknesses?: My weaknesses is I have no weakness
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

 

___________________

Date ________________

 
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