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: DEG2198746 Name: Naseer A M
  Address: 185-3-6-1 V K Samy Nagar Suriya Nagar Madurai
Telephone No.: Mobile no: 9942421878
E-mail: amibrahim1968@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: 13855567611
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2198746 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: DEG2198746
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Naseer A M
Mother's Name: Sigappi Alias Rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jan 2004 Nationality: Indian
Place of Birth: Madurai Personal Identification Mark: A mole on left knee
Blood Group: B -  
 
Date of Birth (DD/MM/YY): 24 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: 185-3-6-1 V K Samy Nagar Suriya Nagar Madurai
State: Tamil Nadu Country: India
Pin: 625007 City/District: Madurai
Mobile no: 9942421878 Telephone No. with STD code:
Aadhar Card No:686564923218 E-mail: amibrahim1968@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MOHAMED IBRAHIM A Relationship with candidate: Father
Parents Date of Birth: 06 Jul 1968 Parent's/Guardian's Occupation/Designation: Private
   
Office Address:
   
Address: 185 Avvai Sanmugam Salai Gopalapuram Chennai
Country: India State: Tamil Nadu
City/District: Madurai Pin: 625007
Tel: Mobile no.: 9942421878
Fax: Email: amibrahim1968@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Velammal Bodhi Campus School: Velammal Vidyalaya
City: Madurai City: Madurai
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Address of School/College: Velammal Village Madurai Tuticorin Road Anupanadi Madurai
  Centre code:
  Pin: 625009
  Contact Nos:
  Email: velammalcbse.madurai@gmail.com
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 91 91
Chemistry 100 75 75
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 80
English 100 83 83
   
IMU CET Application Number: CET21U1003351  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Going to gym and playing badminton
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I like adventures and for salary
Why do you wish to join TMI?: Prestigious institution in India
What are your hobbies?: Reading books
What are your strengths?: Self confidence
What are your weaknesses?: Being so curious
How do you intend to meet the expenses of this program?: Own Resources,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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