 |
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: DNS2052190 |
Name: kausar altaf sarang |
| |
Address: kondetad rajapur |
| Telephone No.: |
Mobile no: 9326756535 |
| E-mail: kausarsarang5@gmail.com |
|
| |
|
| Application fee payment details: |
|
| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 310429617 |
| |
|
| |
|
| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052190 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
|
|
| |
|
| |
| Applicant's Personal Information: |
| |
| Full Name as on Class XII Marksheet/Pass Certificate: kausar altaf sarang |
| Mother's Name: mumtaz |
| Gender (M/F): Female |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 07 Apr 2002 |
Nationality: Indian |
| Place of Birth: vita |
Personal Identification Mark: birth mark on neck |
| Blood Group: O + |
Address for Communication: kondetad rajapur |
| State: Maharashtra |
Country: India |
| Pin: 416702 |
City/District: ratnagiri |
| Mobile no: 9326756535 |
Telephone No. with STD code: |
| Aadhar Card No: |
E-mail: kausarsarang5@gmail.com |
|
| |
| Guardian's Particulars: |
| |
| Name of Parent/Guardian: mumtaz altaf sarang |
Relationship with candidate: mother |
| Parents Date of Birth: 17 Apr 1978 |
Parent's/Guardian's Occupation/Designation: teacher |
| |
|
| Office Address: |
| |
|
| Address: kondetad rajapur |
| Country: India |
State: Maharashtra |
| City/District: ratnagiri |
Pin: 416702 |
| Tel: |
Mobile no.: 9673371386 |
| Fax: |
Email: mumtazsarang328@gmail.com |
| |
|
Education and Academic Record :
|
| Class X: - |
Class XII: - |
| Year of Passing: 2018 |
Year of Passing: 2020 |
| Board: Maharashtra |
Board: Maharashtra |
| School: national english school |
School: abeda inmdar jr college for girls |
| City: rajapur |
City: pune |
| English %: 78 |
Board Roll No./Seat No.: |
| Aggregate Percentage: 78 |
School/College Code: |
| |
Centre code: |
| |
Address of School/College: hidayatullah road azam cmpus |
| |
Pin: 411001 |
| |
Contact Nos: |
| |
Email: kausarsarang5@gmail.com |
| |
Aggregate Percentage: |
| |
|
| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
|
MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
|
|
| Chemistry |
100 |
|
|
| Mathematics |
100 |
|
|
| Physics, Chemistry & Mathematics combined Percentage: |
|
| English |
100 |
|
|
|
| |
|
| IMU CET Application Number: |
|
|
| |
| How do you intend spending your time after completing class XII Final exams and before joining college ?: entrance exams preprations |
| Why do you wish to join TMI?: tolani is the reputed institute |
| What are your hobbies?: shooting |
| What are your strengths?: hardworker |
| What are your weaknesses?: i feel uncomfortable when i didntfinish my work within a given time |
| 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 not uploaded
|
| |
| Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
| |
___________________ |
Date ________________ |
| |