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: DNS2173618 Name: Abdullah Abu Humam
  Address: Main road, Barinagar Telco Jamshedpur
Telephone No.: Mobile no: 9852454305
E-mail: abdullahabuhumam123@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425315623
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173618 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: DNS2173618
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abdullah Abu Humam
Mother's Name: Farhat khatoon
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Feb 2004 Nationality: Indian
Place of Birth: Jharkhand Personal Identification Mark: Mark on neck
Blood Group: O + Address for Communication: Main road, Barinagar Telco Jamshedpur
State: Jharkhand Country: India
Pin: 831004 City/District: Jamshedpur
Mobile no: 9852454305 Telephone No. with STD code:
Aadhar Card No:740259993005 E-mail: abdullahabuhumam123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Gholam Sharfuddin Relationship with candidate: Father
Parents Date of Birth: 01 Nov 1954 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Main road Barinagar, Telco Jamshedpur
Country: India State: Jharkhand
City/District: Jamshedpur Pin: 831004
Tel: Mobile no.: 7488033288
Fax: Email: gholam_sharaf@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Bihar Board: CBSE
School: Vidya Bharati Chinmaya Vidyalaya School: Vidya Bharati Chinmaya Vidyalaya
City: Jamshedpur City: Jamshedpur
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: Plaza, Telco, Jamshedpur, Jharkhand
  Pin: 831004
  Contact Nos:
  Email: vbcvjsr@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2019 Basketball Interhouse First
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By travelling to different places and learning about that Place
Why do you wish to join TMI?: Because it offers a great opportunity to the students Who want their career in merchant Navy
What are your hobbies?: To know about facts
What are your strengths?: Communication skill, managing event
What are your weaknesses?: To be hungry
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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