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: DNS2174195 Name: Mohd Bilal
  Address: 16/1b GTB Nagar karamat ki Chowki Kareli prayagraj Uttar Pradesh 211016
Telephone No.: Mobile no: 8853028538
E-mail: bilalhamza885@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425632324
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174195 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: DNS2174195
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohd Bilal
Mother's Name: Nasreen Begum
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jan 2002 Nationality: Indian
Place of Birth: Prayagraj Personal Identification Mark: Spot near left side eye
Blood Group: O + Address for Communication: 16/1b GTB Nagar karamat ki Chowki Kareli prayagraj Uttar Pradesh 211016
State: Uttar Pradesh Country: India
Pin: 211016 City/District: Prayagraj
Mobile no: 8853028538 Telephone No. with STD code:
Aadhar Card No:501237211501 E-mail: bilalhamza885@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohd Sallu Relationship with candidate: Father
Parents Date of Birth: 05 Jan 1971 Parent's/Guardian's Occupation/Designation: Bosun at Anglo Eastern
   
Office Address:
   
Address: 16/1b GTB Nagar karamat ki Chowki Kareli prayagraj Uttar Pradesh 211016
Country: India State: Uttar Pradesh
City/District: Prayagraj Pin: 211016
Tel: Mobile no.: 7651983304
Fax: Email: sallumohd268@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: Bishop George school School: Bishop George school
City: Prayagraj City: Prayagraj
English %: 63 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Centre code:
  Address of School/College: 13-13-D kamla Nehru road opposite Hindustani academy Civil lines
  Pin: 211001
  Contact Nos: 8853028538
  Email: bilalhamza885@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 ?: By learning about course
Why do you wish to join TMI?: By internet
What are your hobbies?: Reading book
What are your strengths?: Gym
What are your weaknesses?: Nothing
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

 

___________________

Date ________________

 
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