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: DNS2050271 Name: KHAN MOHAMMAD ALI MOHAMMAD AURANGZEB
  Address: B-65 JAYDEEP MIRA ROAD SHANTI NAGAR MIRA ROAD EAST
Telephone No.: 08779983713 Mobile no: 8779983713
E-mail: officialwork490@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: 305762384
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050271 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: DNS2050271
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KHAN MOHAMMAD ALI MOHAMMAD AURANGZEB
Mother's Name: NIKHATPARWEEN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Feb 2000 Nationality: INDIA
Place of Birth: MAHARASHTRA Personal Identification Mark: BLACK HAIR
Blood Group: B + Address for Communication: B-65 JAYDEEP MIRA ROAD SHANTI NAGAR MIRA ROAD EAST
State: Maharashtra Country: India
Pin: 401107 City/District: THANE
Mobile no: 8779983713 Telephone No. with STD code: 08779983713
Aadhar Card No:944628443706 E-mail: officialwork490@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: NIKHAT PARWEEN KHAN Relationship with candidate: MOTHER
Parents Date of Birth: 26 Jan 1985 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: BHAYANDER WEST CHURCH PHATAK VIKAS INDUSTRIAL STATE
Country: India State: Maharashtra
City/District: THANE Pin: 401107
Tel: Mobile no.: 9324251567
Fax: Email: f2falikhan@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: GOLDEN NEST ENGLISH SCHOOL School: SARDAR VALLLABBHAI PATEL COLLEGE
City: THANE City: THANE
English %: 54 Board Roll No./Seat No.: M079282
Aggregate Percentage: 65 School/College Code: 3205018
  Centre code: 3851
  Address of School/College: DAHISAR
  Pin: 401107
  Contact Nos:
  Email: makdon29@gmail.com
  Aggregate Percentage: 57
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 38 38
Chemistry 100 48 48
Mathematics 100 35 35
Physics, Chemistry & Mathematics combined Percentage: 40.33
English 100 69 69
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I SPEND MY TIME IN PREPARATION FOR COMPETATIVE EXAM AND SPONSORSHIP EXAM.
Why do you wish to join TMI?: I WANT QUALITY EDUCATION AND EXPERIENCE FROM THE GREAT LEADER OF THIS FIELD.
What are your hobbies?: LISTENING BIOGRAPHY AND CASE STUDY OF VARIOUS LEADER AND CORPORATES.
What are your strengths?: CONFIDENCE,ALWAYS MOTIVATED,NEVER GIVE UP,TEAM PLAYER
What are your weaknesses?: PROCRASTINATION
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 Class XII marksheet not uploaded
 
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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