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 - 2021

 
  Dossier ID: DNS2172054
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohd Rehan
Mother's Name: Afroza
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 1970 Nationality: Indian
Place of Birth: Hissar Personal Identification Mark: Cut on left eyebrow
Blood Group: O - Address for Communication: Hno. 259 Near vivekanand school Awas vikas colony, Haldwani, Nainital
State: Uttaranchal Country: India
Pin: 263141 City/District: Haldwani
Mobile no: 9897499920 Telephone No. with STD code: 09897499920
Aadhar Card No:645036047442 E-mail: zubermohammad37@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohd Zuber Relationship with candidate: Father
Parents Date of Birth: 05 Feb 1965 Parent's/Guardian's Occupation/Designation: Ex-Army
   
Office Address:
   
Address: Hno. 259 Near vivekanand school Awas vikas colony Haldwani,Nainital, Uttarakhand
Country: India State: Uttaranchal
City/District: Haldwani Pin: 263141
Tel: 09897499920 Mobile no.: 9897263006
Fax: Email: zubermohammad37@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: KV HALDWANI CANTT School: KV HALDWANI CANTT
City: Haldwani City: Haldwani
English %: 91 Board Roll No./Seat No.: 25624547
Aggregate Percentage: 86 School/College Code: 84033
  Centre code: 8101
  Address of School/College: Military Area, P.O. Bhotia Parao,Haldwani. Distt. Nainital, Uttrakhand
  Pin: 263139
  Contact Nos: 5946221680
  Email: kvhaldwani@yahoo.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 93 93
Chemistry 100 76 76
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 77
English 100 92 92
   
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
04/2017 Cricket Regional 3
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
3/2019 Course in office and internet 3 months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Spending my time as much as possible with my family and friends.
Why do you wish to join TMI?: TMI is one of the best institute for DNS on India.
What are your hobbies?: Reading, Watching shows, outdoor sports,travelling and eating.
What are your strengths?: Patience, effective team player, Determined and helpful.
What are your weaknesses?: Shy, uncomfortable around girls and insecure
How do you intend to meet the expenses of this program?: Own Resources,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

 

___________________

Date ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.