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.Tech. Marine Engineering
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: meersha mohammed jafar p
Mother's Name: Haseena
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Feb 2003 Nationality: Indian
Place of Birth: sultan bath Personal Identification Mark: black moles on right and left arms
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 23 Feb 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: Kerala,palakkad,alanallur-2,karkkidamkunnu po,kanamkode kerala,malappauram,uccharakkadavu,kanamkode
State: Kerala Country: India
Pin: 678601 City/District: palakkad
Mobile no: 7994648660 Telephone No. with STD code:
Aadhar Card No:691428675800 E-mail: haseenajafar27@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: jafar Relationship with candidate: son
Parents Date of Birth: 31 Dec 1978 Parent's/Guardian's Occupation/Designation: real estate
   
Office Address:
   
Address: kerala,palakkad,alanallur-2 kerala,palakkad,alanallur-2
Country: India State: Kerala
City/District: palakkad Pin: 678601
Tel: Mobile no.: 7994648660
Fax: Email: mjboy456@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: Year of Passing:
Board: Board:
School: School:
City: City:
English %: Board Roll No./Seat No.:
Aggregate Percentage: School/College Code:
  Address of School/College:
  Centre code:
  Pin:
  Contact Nos:
  Email:
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
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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