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.Sc. Nautical Science
Dossier ID: DEG2191617 Name: MOHD MUAZZAM
  Address: VILL ARUWAWAN POST MOTINAGAR TEHSIL SOHAWAL FAIZABAD UTTAR PRADESH
Telephone No.: Mobile no: 7392900166
E-mail: mohdmuazzam56@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: 13677996759
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2191617 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.Sc. Nautical Science
Dossier ID: DEG2191617
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHD MUAZZAM
Mother's Name: SHAGUFTA BANO
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 May 2001 Nationality: INDIAN
Place of Birth: FAIZABAD Personal Identification Mark: MOLE ON RIGHT HAND
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 12 May 2001 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : MOHAMMAD MUAZZAM Passport No.: V0268792
Date of Expiry: 05 Jul 2030 Place of Issue: LUCKNOW
(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 ARUWAWAN POST MOTINAGAR TEHSIL SOHAWAL FAIZABAD UTTAR PRADESH
State: Uttar Pradesh Country: India
Pin: 224201 City/District: FAIZABAD
Mobile no: 7392900166 Telephone No. with STD code:
Aadhar Card No:853376240540 E-mail: mohdmuazzam56@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: EKHLAQ AHMAD Relationship with candidate: SON
Parents Date of Birth: 10 Aug 1978 Parent's/Guardian's Occupation/Designation: other service
   
Office Address:
   
Address: VILL ARUWAWAN POST MOTINAGAR TEHSIL SOHAWAL FAIZABAD UTTAR PRADESH
Country: India State: Uttar Pradesh
City/District: FAIZABAD Pin: 224201
Tel: Mobile no.: 8779663937
Fax: Email: mohdmuazza56@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2020
Board: Uttar Pradesh Board: Other
School: JABIC PUBLIC SCHOOL School: SUKHRAJI INTER COLLEGE
City: FAIZABAD City: AZAMGARH
English %: 83 Board Roll No./Seat No.: 2012012361
Aggregate Percentage: 72 School/College Code: CW31030111
  Address of School/College: HARISHCHANDRAPUR THEKMA AZAMGARH
  Centre code: 201311
  Pin: 276303
  Contact Nos: 08779663937
  Email: mohdmuazza56@gmail.com
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 49 49
Chemistry 100 58 58
Mathematics 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 63.33
English 100 62 62
   
IMU CET Application Number: CET21U1013464  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I LIKE TO SPEND TIME BY GATHERING MORE KNOWLEDGE ABOUT MERCHANT NAVY AND PREPARE FOR MY ENTERENCE EXAM.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: THIS COURSE GIVES ME OPPORTUNITY TO DIVE IN KNOWLEDGE MORE DEEPLY
Why do you wish to join TMI?: .TOLANI IS THE BEST COLLEGE IN INDIA AND I WANT TO BE PART OF THE BEST.
What are your hobbies?: TRAVELLING AND SWIMMING
What are your strengths?: MY POSITIVE ATTITUDE TOWARDS ANY WORK I DO
What are your weaknesses?: I GET RESTLESS WHEN MY WORK IS LEFT INCOMPLETE
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
 
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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