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: DEG2191985 Name: khan Mohammed Aqib jalauddin
  Address: Near narayan saw mill,nagothane Raigarh , Maharastra
Telephone No.: Mobile no: 8766529540
E-mail: khanaaqib6867@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: 13668286145
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2191985 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: DEG2191985
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: khan Mohammed Aqib jalauddin
Mother's Name: kaisar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Jun 2004 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: mole on left shoulder
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 26 Jun 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: Near narayan saw mill,nagothane Raigarh , Maharastra
State: Maharashtra Country: India
Pin: 402106 City/District: raigarh
Mobile no: 8766529540 Telephone No. with STD code:
Aadhar Card No:590659748017 E-mail: khanaaqib6867@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jalaluddin khan Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1971 Parent's/Guardian's Occupation/Designation: Buisness man
   
Office Address:
   
Address: Near narayan saw mill,nagothane Raigarh , Maharastra
Country: India State: Maharashtra
City/District: raigarh Pin: 402106
Tel: Mobile no.: 8766529540
Fax: Email: khanaaqib6867@gamil.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: N.E.S urdu high school School: SD PARMAR ENGLISH MEDIUM
City: raigarh City: raigarh
English %: 57 Board Roll No./Seat No.: M044279
Aggregate Percentage: 52 School/College Code:
  Address of School/College: Near narayan saw mill,nagothane Raigarh , Maharastra
  Centre code: 1709010
  Pin: 402106
  Contact Nos: 08766529540
  Email: khanaaqib6867@gamil.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 75 75
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 71.67
English 100 67 67
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Ill be gathering more and more knowledge and information about merchant navy
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Bsc nautical science is the best option for me beacause it me give me more practical knowledge before joining merchant navy
Why do you wish to join TMI?: Tmi is one of the best institute in india to join merchant navy
What are your hobbies?: Singing playing football and hockey
What are your strengths?: Positve attitude towards any work i do
What are your weaknesses?: I get restless when my work is incomplete
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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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