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: DNS2050206 Name: MULLA ANID IMTIYAZ
  Address: FLAT NO.7,SHRI KRUSHNA HOUSING SOCIETY, MAHADA COLONY,NAGALA PARK KOLHAPUR
Telephone No.: Mobile no: 8600294367
E-mail: mullaanid123@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305456133
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050206 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
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2020

 
  Dossier ID: DNS2050206
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MULLA ANID IMTIYAZ
Mother's Name: MEENAZ IMTIYAZ MULLA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Dec 2000 Nationality: INDIA
Place of Birth: RATNAGIRI Personal Identification Mark: MOLE ON RIGHT HAND
Blood Group: O + Address for Communication: FLAT NO.7,SHRI KRUSHNA HOUSING SOCIETY, MAHADA COLONY,NAGALA PARK KOLHAPUR
State: Maharashtra Country: India
Pin: 416003 City/District: KOLHAPUR
Mobile no: 8600294367 Telephone No. with STD code:
Aadhar Card No:653392547972 E-mail: mullaanid123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: IMTIYAZ AHMAD MULLA Relationship with candidate: FATHER
Parents Date of Birth: 04 Oct 1961 Parent's/Guardian's Occupation/Designation: MERCHANT NAVY
   
Office Address:
   
Address: WEST ASIA MARITIME LIMITED,BUHARI TOWERS 6TH FLOOR,NO.4 MOORES ROAD,CHENNAI
Country: India State: Tamil Nadu
City/District: CHENNAI Pin: 600006
Tel: Mobile no.: 9892301455
Fax: Email: mullaimtiyaz@rediff.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: NEW MODEL ENGLISH SCHOOL School: NEW MODEL JUNIOR COLLEGE
City: KOLHAPUR City: KOLHAPUR
English %: 76 Board Roll No./Seat No.: X034051
Aggregate Percentage: 82 School/College Code: 0412
  Centre code: 0412
  Address of School/College: E WARD,2130,TARABAI PARK,KOLHAPUR
  Pin: 416003
  Contact Nos:
  Email: newmodelsecondary@gmail.com
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 59 59
Chemistry 100 60 60
Mathematics 100 65 65
Physics, Chemistry & Mathematics combined Percentage: 61.33
English 100 77 77
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: LEARNING COMPUTER LANGUAGES
Why do you wish to join TMI?: I GOT VERY GOOD REVIEWS ABOUT TMI FROM MY ELDERS WHO ARE IN MERCHANT NAVY AND ALSO YOU GET PRE SPONSORSHIP SO TMI WILL BE BEST TO START MY CAREER
What are your hobbies?: MUSIC,READING BOOKS,CRICKET,EXERCISE
What are your strengths?: LESS EMOTIONAL,FOCUSSED MINDSET,EASILY GET MIXED IN NEW PEOPLE AND CULTURES
What are your weaknesses?: LITTLE LAZY,BUT WHEN NEEDED I CAN MANAGE
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

 

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Date ________________

 
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