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: DNS2173474 Name: ANSARI ARIF ALI ALISHER
  Address: Room no. 151 Ambedkar Nagar, Pipeline, Sakivihar Road Sakinaka, Mumbai- 400072
Telephone No.: 09372465515 Mobile no: 9372465515
E-mail: arifaliansari429@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173474 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: DNS2173474
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANSARI ARIF ALI ALISHER
Mother's Name: RASHIDA ANSARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Feb 2002 Nationality: INDIAN
Place of Birth: Mumbai Personal Identification Mark: Arif Ali
Blood Group: B + Address for Communication: Room no. 151 Ambedkar Nagar, Pipeline, Sakivihar Road Sakinaka, Mumbai- 400072
State: Maharashtra Country: India
Pin: 400072 City/District: Mumbai
Mobile no: 9372465515 Telephone No. with STD code: 09372465515
Aadhar Card No:412186609651 E-mail: arifaliansari429@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Alisher Ansari Relationship with candidate: Father
Parents Date of Birth: 25 Feb 1970 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Kherani Road Pipeline, Sakivihar Road Sakinaka, Mumbai- 400072
Country: India State: Maharashtra
City/District: Mumbai Pin: 400072
Tel: 09768373775 Mobile no.: 9768373775
Fax: Email: alisheransari070@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: St. Anthony High School School: Bhavans College
City: Mumbai City: Mumbai
English %: 86 Board Roll No./Seat No.: M070545
Aggregate Percentage: 86 School/College Code: 3203011
  Centre code: NA
  Address of School/College: JP Rd, Old D N Nagar, Munshi Nagar, Andheri West, Mumbai, Maharashtra 400058
  Pin: 400058
  Contact Nos:
  Email: bhavanscollegeandheri@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 54 54
Chemistry 100 51 51
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 56.33
English 100 71 71
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By Reading books, preparing for IMU CET and helping my Mom in household work
Why do you wish to join TMI?: There is no other college which provides best educational facilities for this course and TMI is on top in providing placement to students.
What are your hobbies?: Football, Mixed Martial Arts, Reading Autobiographies And Cycling
What are your strengths?: Punctual, Passionate, Consistent and Improving personal
What are your weaknesses?: Foodie
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 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 ________________

 
Print Summary and Application Form