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 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2172727 Name: SAHIL KHAN
  Address: 28 VILLAGE DIYA POST BHAKNDA,TAHASIL MANJHANPUR,BHAKNDA UPARHAR L.I.G-166 NEEM SARAI MUNDERA
Telephone No.: Mobile no: 9118489988
E-mail: sahilkhan786gf@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 426874492
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172727 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 - 2021

 
  Dossier ID: DNS2172727
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SAHIL KHAN
Mother's Name: REHANA BEGUM
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Jan 2003 Nationality: INDIAN
Place of Birth: KAUSHAMBI Personal Identification Mark: A MOLE ON LEFT CHEEK
Blood Group: B + Address for Communication: 28 VILLAGE DIYA POST BHAKNDA,TAHASIL MANJHANPUR,BHAKNDA UPARHAR L.I.G-166 NEEM SARAI MUNDERA
State: Uttar Pradesh Country: India
Pin: 212216 City/District: KAUSHAMBI
Mobile no: 9118489988 Telephone No. with STD code:
Aadhar Card No:901407231524 E-mail: sahilkhan786gf@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: REHANA BEGUM Relationship with candidate: MOTHER
Parents Date of Birth: 20 Feb 1972 Parent's/Guardian's Occupation/Designation: BEAUTY PARLOR
   
Office Address:
   
Address: CHAUFTAKA NEAR PETROL PUMP PRAYAGRAJ NEEM SARAI MUNDER PRAYAGRAJ NEAR KALI MANDIR
Country: India State: Uttar Pradesh
City/District: KAUSHAMBI Pin: 212216
Tel: Mobile no.: 9335787596
Fax: Email: 29khushi.khushboo@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: S.T VISHNA R.R.N SCHOOL School: S.T VISHNA R.R.N SCHOOL
City: PRAYAGRAJ City: PRAYAGRAJ
English %: 80 Board Roll No./Seat No.: 23698396
Aggregate Percentage: 68 School/College Code: 70006
  Centre code: 7255
  Address of School/College: 79 MUNDERA ALLAHABAD Uttar PRADESH, PRAYAGRAJ
  Pin: 211011
  Contact Nos:
  Email: principalstv@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 70 70
Chemistry 100 68 68
Mathematics 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 65.33
English 100 85 85
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: DOING MY FURTHER PERPARATION OF MERCHANT NAVY
Why do you wish to join TMI?: At PRESENT THIS IS THE BEST MARITIME ACADEMY IN INDIA. THIS ACADEMY ALSO GIVE MAXIMUM TRAINING,KNOWLEDGE AND BEST PLACEMENT PERCENTAGE RECORD AND IT IS THE HALF WAY TO SUCCESS
What are your hobbies?: TRAVELING,PLAYING CRICKET,GYM,SINGING
What are your strengths?: EMOTIONAL AND MENTALLY STRONG
What are your weaknesses?: DANCING
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form