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: DEG2198434 Name: ARSLAN SHAMIM KHAN
  Address: H/No.75 RAJAPUR KATYA RAJAPUR ,KASIMABAD
Telephone No.: Mobile no: 9970827479
E-mail: naseemkhan04@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: 13842390506
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2198434 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: DEG2198434
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ARSLAN SHAMIM KHAN
Mother's Name: ZHEHRA KHATOON
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Feb 2002 Nationality: INDIAN
Place of Birth: MAU Personal Identification Mark: CUT MARK ON FOREHEAD ON LEFT SIDE
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 20 Feb 2002 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: H/No.75 RAJAPUR KATYA RAJAPUR ,KASIMABAD
State: Uttar Pradesh Country: India
Pin: 233230 City/District: GHAZIPUR
Mobile no: 9970827479 Telephone No. with STD code:
Aadhar Card No:269531676627 E-mail: naseemkhan04@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHAMIM ALAM KHAN Relationship with candidate: FATHER
Parents Date of Birth: 22 Jul 1972 Parent's/Guardian's Occupation/Designation: HEAD CLERK
   
Office Address:
   
Address: PWD OFFICE NEAR BUS STAND
Country: India State: Uttar Pradesh
City/District: DEORIA Pin: 274001
Tel: 09415260583 Mobile no.: 9415260583
Fax: Email: naseemkhan04@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: Uttar Pradesh
School: FATIMA SCHOOL TAJOPUR School: HANSAI CH HIGHER SECONDARY SCHOOL
City: MAU City: BALLIA
English %: 65 Board Roll No./Seat No.: 216804979
Aggregate Percentage: 60 School/College Code: 1143
  Address of School/College: JAMIN SISYAND BALLIA
  Centre code:
  Pin: 277305
  Contact Nos:
  Email: naseemkhan04@gmail.com
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 76 76
Chemistry 100 74 74
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 73.33
English 100 64 64
   
IMU CET Application Number: CET21U1003296  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Revising and practicing 12th class topics.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think because marine engg has the best placements and packages and often I want to be a mariner.
Why do you wish to join TMI?: Because ur college has good placements. And hence its easier to live in Pune
What are your hobbies?: Hobbies r playing football and cricket.
What are your strengths?: Mine strength is that I dare to take risk.
What are your weaknesses?: Mine weakness is I donot speak much.
How do you intend to meet the expenses of this program?: Own Resources
 
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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