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: DNS2174444 Name: Isane Abdul manam Javeed
  Address: At post vahoor taluka-mahad district-raigad Isane mohalla house no-274
Telephone No.: Mobile no: 7387694464
E-mail: manamisane20@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426117798
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174444 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: DNS2174444
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Isane Abdul manam Javeed
Mother's Name: Mehjabeen javeed isane
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Aug 2002 Nationality: Indian
Place of Birth: Dasgaon Personal Identification Mark: A scar on middle finger of right hand
Blood Group: O + Address for Communication: At post vahoor taluka-mahad district-raigad Isane mohalla house no-274
State: Maharashtra Country: India
Pin: 402301 City/District: Raigad
Mobile no: 7387694464 Telephone No. with STD code:
Aadhar Card No:905715256670 E-mail: manamisane20@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Javeed amir isane Relationship with candidate: Son
Parents Date of Birth: 06 Jun 1973 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: At post vahoor taluka-mahad district-raigad Isane mohalla
Country: India State: Maharashtra
City/District: Raigad Pin: 402301
Tel: Mobile no.: 9970558022
Fax: Email: manamisane20@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: St.xavier school shirgaon School: Fajandar Junior College Vahoor
City: Mahad City: Vahoor
English %: 76 Board Roll No./Seat No.: M052549
Aggregate Percentage: 80 School/College Code: 1714003
  Centre code: 2806
  Address of School/College: At post Vahoor taluka-mahad district-raigad
  Pin: 402301
  Contact Nos: 02145270079
  Email: fajandar@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 70 70
Mathematics 100 73 73
Physics, Chemistry & Mathematics combined Percentage: 70.33
English 100 70 70
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to spend my time pursuing my hobbies
Why do you wish to join TMI?: I have heard a lot about TMI from my elders
What are your hobbies?: playing outdoor games, swimming, reading and travelling
What are your strengths?: I am a quick learner, good at technical and leadership skills, I have adaptability skills
What are your weaknesses?: my inability to share responsibilities, I focus too much on the details, I have trouble saying no to things
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
 
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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