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: DNS2049934 Name: Syed baba raheem
  Address: Samikyatha nagar near ura cheruvu ongole 523001 Srk complex OPP TULASI RAM THEATER KURNOOL ROAD ongole
Telephone No.: Mobile no: 8074441399
E-mail: babarahim4u@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304813038
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049934 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: DNS2049934
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Syed baba raheem
Mother's Name: Syed gousiya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jul 2001 Nationality: Indian
Place of Birth: Ongole Personal Identification Mark: A mole on right arm
Blood Group: B + Address for Communication: Samikyatha nagar near ura cheruvu ongole 523001 Srk complex OPP TULASI RAM THEATER KURNOOL ROAD ongole
State: Andhra Pradesh Country: India
Pin: 523001 City/District: Prakasam
Mobile no: 8074441399 Telephone No. with STD code:
Aadhar Card No:503344361869 E-mail: babarahim4u@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Syed gousiya Relationship with candidate: Mother
Parents Date of Birth: 05 Jul 1976 Parent's/Guardian's Occupation/Designation: Others
   
Office Address:
   
Address: Srk complex opp tulasi ram theater Kurnool road ongole
Country: India State: Andhra Pradesh
City/District: Ongole Pin: 523001
Tel: Mobile no.: 9966616861
Fax: Email: babarahim4u@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Andhra Pradesh Board: Andhra Pradesh
School: Sivani public school School: Sri chaitanya junior college
City: Ongole City: Ongole
English %: 85 Board Roll No./Seat No.: 1907213891
Aggregate Percentage: 85 School/College Code: 07034
  Centre code: 07034
  Address of School/College: Mungamuru road ongole
  Pin: 523001
  Contact Nos:
  Email: babarahim4u@gmail.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 111 74
Chemistry 150 118 78.67
Mathematics 300 147 49
Physics, Chemistry & Mathematics combined Percentage: 67.22
English 100 80 80
   
IMU CET Application Number: CET20D97132  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have preparing for imucet in mumbai
Why do you wish to join TMI?: It is a very good college and have good placement records
What are your hobbies?: Playing cricket and spending time with friends
What are your strengths?: My parents are my strength
What are your weaknesses?: Believing someone easily
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded 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

 

___________________

Date ________________

 
Print Summary and Application Form