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: DNS2052453 Name: SIDDIQUI KUMAIL ZIYAUDDIN
  Address: 121,B/205 SHARIF HASAN ARC ZAITOON PURA,BHIWANDI THANE
Telephone No.: Mobile no: 7767878075
E-mail: siddiquikumail78@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: 311610547
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052453 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: DNS2052453
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SIDDIQUI KUMAIL ZIYAUDDIN
Mother's Name: NAZERA ZIYAUDDIN SIDDIQUI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Feb 2002 Nationality: INDIAN
Place of Birth: MAHARASHTRA Personal Identification Mark: BLACK MARK ON RIGHT LEG
Blood Group: B + Address for Communication: 121,B/205 SHARIF HASAN ARC ZAITOON PURA,BHIWANDI THANE
State: Maharashtra Country: India
Pin: 421302 City/District: Thane
Mobile no: 7767878075 Telephone No. with STD code:
Aadhar Card No:661107409611 E-mail: siddiquikumail78@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SIDDIQUI ZIYAUDDIN Relationship with candidate: FATHER
Parents Date of Birth: 15 Aug 1970 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: 121,B/205 SHARIF HASAN ARC ZAITOON PURA, BHIWANDI THANE
Country: India State: Maharashtra
City/District: BHIWANDI Pin: 421302
Tel: Mobile no.: 7843038075
Fax: Email: kumailsiddiqui4@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: DR.OMPRAKASH AGARWAL ENGLISH HIGH SCHOOL School: THE SCHOLARS JUNIOR COLLEGE
City: BHIWANDI City: BHIWANDI
English %: 66 Board Roll No./Seat No.: M025900
Aggregate Percentage: 75 School/College Code: 1619022
  Centre code: 1356
  Address of School/College: SONIBAI COMPOUND, NARPOLI, BHIWANDI
  Pin: 421302
  Contact Nos: 02522655940
  Email: scholarsjr2013@gmail.com
  Aggregate Percentage: 62
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 52 52
Chemistry 100 54 54
Mathematics 100 44 44
Physics, Chemistry & Mathematics combined Percentage: 50
English 100 66 66
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2017 LEADERSHIP LEADER 2nd
10/2017 TEAMWORK COACH 1st
10/2017 CREATIVITY VOLUNTEER 2nd
10/2017 VALUES AMONG YOUTH PARTICIPANT 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: BY VISITING VIVID MARITIME INSTITUTES AND INTERACT WITH THE STUDENTS THERE
Why do you wish to join TMI?: AS IT IS THE LEADING INSTITUTE IN OUR NATION WITH THE ECO-FRIENDLY ATMOSPHERE AMONG STUDENTS AMD WITH THE GREAT FACILITIES
What are your hobbies?: SWIMMING, READING NATURE RELATED BOOKS,TO EXPLORE, TO LIVE THE EVERY OTHER MOMENT OF LIFE INSTEAD OF CAPTURING IT
What are your strengths?: MODERATE LEVEL OF CQ IN ME,WELL LEVEL OF SELF CONTROL FROM DISTRACTIONS, PUNCTUALITY
What are your weaknesses?: NEGATIVE PEOPLES AROUND ME AND OVERTHINKING
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate Class XII admit card 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