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: DNS2174543
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Md Imran Siddiqui
Mother's Name: Salma begum
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Oct 2000 Nationality: Indian
Place of Birth: KOLKATA Personal Identification Mark: No
Blood Group: B + Address for Communication: 3D/H/1 DR.M.N CHATTERJEE SARANI 3D/H/1 DR M. N CHATTERJEE SARANI
State: West Bengal Country: India
Pin: 700009 City/District: KOLKATA
Mobile no: 8240756177 Telephone No. with STD code: 08240756177
Aadhar Card No:864027260469 E-mail: ik22166@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Md iqbal siddiqui Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: 3D/H/1 DR.M.N CHATTERJEE SARANI 3D/H/1 DR M. N CHATTERJEE SARANI
Country: India State: West Bengal
City/District: KOLKATA Pin: 700009
Tel: Mobile no.: 8240756177
Fax: Email: ik22166@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: West Bengal Board: West Bengal
School: Anjuman high school School: Md. Jan high school
City: KOLKATA City: Kolkata
English %: 60 Board Roll No./Seat No.: 4102112358
Aggregate Percentage: 64 School/College Code: 101144
  Centre code: 19170104709
  Address of School/College: 9B, bolai dutta street,
  Pin: 700073
  Contact Nos: 8240756177
  Email: ik22166@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 76 76
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 68.33
English 100 73 73
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spent my whole time to read books and explore new things.
Why do you wish to join TMI?: I want best maritine Institute for Dns course and I find Tmi.
What are your hobbies?: Cycle riding, hangout with friends and explore new things
What are your strengths?: Self control
What are your weaknesses?: Public speaking
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.