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: DNS2051237 Name: Khalfe Adeeb Parvez Sajjad
  Address: A/503 ,Moreshwar Complex, Sector 18, Kamothe, Navi Mumbai, 410209 A/503 ,Moreshwar Complex, Sector 18, Kamothe, Navi Mumbai, 410209
Telephone No.: Mobile no: 9689522332
E-mail: adeebkhalfe7@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 308567723
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051237 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: DNS2051237
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Khalfe Adeeb Parvez Sajjad
Mother's Name: Shabnam Parvez Khalfe
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Jul 2002 Nationality: Indian
Place of Birth: Ratnagiri Personal Identification Mark: mole near nose
Blood Group: O + Address for Communication: A/503 ,Moreshwar Complex, Sector 18, Kamothe, Navi Mumbai, 410209 A/503 ,Moreshwar Complex, Sector 18, Kamothe, Navi Mumbai, 410209
State: Maharashtra Country: India
Pin: 410209 City/District: navi mumbai
Mobile no: 9689522332 Telephone No. with STD code:
Aadhar Card No:803979421922 E-mail: adeebkhalfe7@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shabnam Khalfe Relationship with candidate: mother
Parents Date of Birth: 04 Jul 1976 Parent's/Guardian's Occupation/Designation: house wife
   
Office Address:
   
Address: no office adress no office address
Country: India State: Maharashtra
City/District: Navi Mumbai Pin: 410209
Tel: Mobile no.: 8329356347
Fax: Email: shabnamkhalfe@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Sacred Heart Convent School Ratnagiri School: Changu Kana Thakur College New Panvel
City: Ratnagiri City: navi mumbai
English %: 79 Board Roll No./Seat No.: M045075
Aggregate Percentage: 89 School/College Code: 1701005
  Centre code: 2571
  Address of School/College: Cidco Colony sector 11 new panvel
  Pin: 410206
  Contact Nos:
  Email: cktjc@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 63 63
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 71.33
English 100 80 80
   
IMU CET Application Number: CET20U96104  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2017 Football District 3rd
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2016 MSCIT 3 months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I wish to Learn New things about Merchant navy from internet right from filling the forms of reputed agency like Tolani Maritime University also learning online from different applications like marinus which helps me to understand the basics of Navigation and different maps also the flags like alpha ,bravo ,charlie ,delta also I tend to study for the IMUCET which is going to be conducted in June
Why do you wish to join TMI?: TMI is a reputed agency which has a good placement record over the years also the campus is good and the institute has a proximity to deal with also it provides you world class training required for a Cadet on board ship
What are your hobbies?: Travelling,Dancing,Listening to music
What are your strengths?: Hard working,Patient,Deal with any situation Peacefully,Practical.
What are your weaknesses?: A bit Emotional and Sensitive
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate 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 ________________

 
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