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: DNS2174044
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aasim Aslam Nivsekar
Mother's Name: Sabiha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Aug 2003 Nationality: Indian
Place of Birth: Mumbra Personal Identification Mark: Nothing
Blood Group: A + Address for Communication: Kokan Apartment, 2nd floor, Room no. 207 Sector 05, Koperkhairane, Navi Mumbai
State: Maharashtra Country: India
Pin: 400709 City/District: Navi Mumbai
Mobile no: 7208537457 Telephone No. with STD code: 07208538457
Aadhar Card No:727012494000 E-mail: asimnivsekar01@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Aslam Usman Nivsekar Relationship with candidate: Father
Parents Date of Birth: 04 Dec 1971 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Kokan Apartment 2 nd floor room no 207 Sector 05 Koperkhairane 400709
Country: India State: Maharashtra
City/District: Navi Mumbai Pin: 400709
Tel: 08424833971 Mobile no.: 9892562759
Fax: Email: asimnivsekar01@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Anjuman I Islam A.A.A English Secondary School School: Allen Swami Vivekananda jr college of Science
City: Vashi City: Koperkhairane
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 66 School/College Code:
  Centre code:
  Address of School/College: Plot No.30, Sector 05, Koperkhairane, Navi Mumbai
  Pin: 400709
  Contact Nos: 02227549933
  Email: asimnevisekar@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 ?: Collect information regarding merchant navy
Why do you wish to join TMI?: I WANT TO JOIN TMI BECAUSE IT IS ONE OF THE BEST INSTITUTE OF INDIAN MARITIME UNIVERSITY
What are your hobbies?: CYCLING
What are your strengths?: good at sports and cultural Activities
What are your weaknesses?: Mathematics
How do you intend to meet the expenses of this program?: Own Resources
 
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.