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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohd Sufiyan Zaki
Mother's Name: Zeba Zafar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 1970 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Scar below left eye
Blood Group: AB + Address for Communication: Aashiyana Colony Asam road PS-Dargah Shareef PO-Kalpipara Bahraich
State: Uttar Pradesh Country: India
Pin: 271802 City/District: Bahraich
Mobile no: 7800830606 Telephone No. with STD code:
Aadhar Card No:515501050955 E-mail: sufiyan.zaki2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohd Suleman Akhtar Relationship with candidate: Father
Parents Date of Birth: 06 Jun 1973 Parent's/Guardian's Occupation/Designation: Private service
   
Office Address:
   
Address: Sati Pharma E-37 Transport nagar Kanpur road Lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226012
Tel: Mobile no.: 7985995940
Fax: Email: suleman.akhtar383@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: ISCE
School: Lucknow Public School School: Lucknow Public School
City: Lucknow City: Lucknow
English %: 80 Board Roll No./Seat No.: 6746080
Aggregate Percentage: 80 School/College Code: UP132
  Centre code: 2201769
  Address of School/College: A-Block rajajipuram
  Pin: 226017
  Contact Nos: 7800830606
  Email: sufiyan.zaki2002@gmail.com
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 68 68
Mathematics 100 49 49
Physics, Chemistry & Mathematics combined Percentage: 65
English 100 73 73
   
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
09/2015 Judo Inter Campus 2nd
12/2018 Cricket Inter School 1st
06/2019 Swimming Inter branch 3rd
01/2020 Relay Race Inter house 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Started preparing for Merchant navy
Why do you wish to join TMI?: Because it is one of the best institute for Marine courses
What are your hobbies?: Reading books,Spending time with children
What are your strengths?: Self motivated, Dedicated, Honest
What are your weaknesses?: Stubborn
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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 ________________

 
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