Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science 2020)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049678 Name: NURSUMAR AHMED RAZA NASIR
  Address: A-62/ALMAS APARTMENTS SANE GURUJI MARG OPP.VIVERIA, AGRIPADA
Telephone No.: Mobile no: 9372294083
E-mail: ahmedrazanursumar786@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 304217310
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049678 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2020

 
  Dossier ID: DNS2049678
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NURSUMAR AHMED RAZA NASIR
Mother's Name: NARGIS
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jan 2001 Nationality: INDIAN
Place of Birth: MUMBRA Personal Identification Mark: NONE
Blood Group: B + Address for Communication: A-62/ALMAS APARTMENTS SANE GURUJI MARG OPP.VIVERIA, AGRIPADA
State: Maharashtra Country: India
Pin: 400011 City/District: MUMBAI CITY
Mobile no: 9372294083 Telephone No. with STD code:
Aadhar Card No:651474138043 E-mail: ahmedrazanursumar786@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: NASIR NURSUMAR Relationship with candidate: FATHER
Parents Date of Birth: 05 Jul 1978 Parent's/Guardian's Occupation/Designation: BUSINESS-PROPRIETOR
   
Office Address:
   
Address: 18/20,BHANDARI STREET OPP. MASJID BUNDER POST OFFICE ABOVE JAN SEVA TRANSPORT
Country: India State: Maharashtra
City/District: MUMBAI CITY Pin: 400003
Tel: Mobile no.: 9819367107
Fax: Email: nasirnursumar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: Other Board: Maharashtra
School: ST. PETERS SCHOOL School: NAVNEET EDUCATION SOCIETY
City: MUMBAI City: MUMBAI
English %: 75 Board Roll No./Seat No.: M056815
Aggregate Percentage: 79 School/College Code: 3102018
  Centre code: 3102
  Address of School/College: BELASIS BRIDGE, MUMBAI CENTRAL
  Pin: 400008
  Contact Nos: 0223082015
  Email: navneet_edu@yahoo.co.in
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 84 84
Chemistry 100 83 83
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 83.67
English 100 66 66
   
IMU CET Application Number: CET20U89492  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: will prepare myself for IMU CET, and focus on my goal to prepare for admission in TMI.
Why do you wish to join TMI?: To enter the Maritime industry I need a great and stable start. who better than TMI to help me achieve this.
What are your hobbies?: Listening motivational songs,playing cricket
What are your strengths?: Hard working,Friendly,Willing to learn.
What are your weaknesses?: Moody.
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate Class XII admit card Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form