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: DNS2173335 Name: Mujawar Mohammad Kaif Nadeem
  Address: 1090NADEEM HOUSE, PADVEKAR COLONY, UDYAMNAGAR, RATNAGIRI 1090 NADEEM HOUSE,PADVEKAR COLONY, UDYAMNAGAR, RATNAGIRI
Telephone No.: Mobile no: 8600569461
E-mail: kaifmujawar853@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: 425610898
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173335 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 - 2021

 
  Dossier ID: DNS2173335
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mujawar Mohammad Kaif Nadeem
Mother's Name: Farina
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Sep 2003 Nationality: Indian
Place of Birth: Ratnagiri Personal Identification Mark: Mole on left cheek
Blood Group: A + Address for Communication: 1090NADEEM HOUSE, PADVEKAR COLONY, UDYAMNAGAR, RATNAGIRI 1090 NADEEM HOUSE,PADVEKAR COLONY, UDYAMNAGAR, RATNAGIRI
State: Maharashtra Country: India
Pin: 415612 City/District: Ratnagiri
Mobile no: 8600569461 Telephone No. with STD code:
Aadhar Card No:384889353727 E-mail: kaifmujawar853@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Nadeem hasan mujawar Relationship with candidate: Father
Parents Date of Birth: 17 Sep 1978 Parent's/Guardian's Occupation/Designation: In merchant Navy
   
Office Address:
   
Address: 1090NADEEM HOUSE, PADVEKAR COLONY, UDYAMNAGAR, RATNAGIRI 1090 NADEEM HOUSE,PADVEKAR COLONY, UDYAMNAGAR, RATNAGIRI
Country: India State: Maharashtra
City/District: Ratnagiri Pin: 415612
Tel: Mobile no.: 9860008982
Fax: Email: kaifmujawar853@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Navnirman high english medium school School: Abhiyankar kulkarni junior college ratnagiri
City: Ratnagiri City: Ratnagiri
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: Advocate N.V. joshi road, near ratnagiri district court, ratnagiri
  Pin: 415612
  Contact Nos:
  Email: kaifmujawar853@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 ?: i would usually spend my time making my self fit by joining gym and would do my other computer courses like ms-cit.also would send my time with my family
Why do you wish to join TMI?: as my father is in merchant navy and he has suggested me that it is the best institution for cadet training also one of my friend is studying in your very own institute
What are your hobbies?: my hobbies are to travel to go on long rides and would some day like to participate in world moto gp
What are your strengths?: my strength is my ability to focus once i have decided to complete some work i would not rest until its done
What are your weaknesses?: my weakness is food as i am very much a foodie guy
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 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

 

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Date ________________

 
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