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: DNS2175138 Name: Mohd Rehan
  Address: 259, Awas Vikas Phase 2 Haripur Awas Vikas Colony, Haldwani, Uttrakhand
Telephone No.: Mobile no: 9897499920
E-mail: officialedge12@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426116156
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175138 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: DNS2175138
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohd Rehan
Mother's Name: Afroza
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Jan 2002 Nationality: Indian
Place of Birth: Hissar Personal Identification Mark: Birthmark on left hand
Blood Group: O - Address for Communication: 259, Awas Vikas Phase 2 Haripur Awas Vikas Colony, Haldwani, Uttrakhand
State: Uttaranchal Country: India
Pin: 263141 City/District: Haldwani
Mobile no: 9897499920 Telephone No. with STD code:
Aadhar Card No:645036047442 E-mail: officialedge12@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohd Zuber Relationship with candidate: Father
Parents Date of Birth: 02 May 1965 Parent's/Guardian's Occupation/Designation: Ex-Army
   
Office Address:
   
Address: 259, Awas Vikas Phase 2 Haripur Awas Vikas Colony, Haldwani, Uttrakhand
Country: India State: Uttaranchal
City/District: Haldwani Pin: 263141
Tel: Mobile no.: 9897263006
Fax: Email: zubermohammad37@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: KV Haldwani cantt School: KV Haldwani cantt
City: Haldwani City: Haldwani
English %: 91 Board Roll No./Seat No.: 25624547
Aggregate Percentage: 86 School/College Code: 84033
  Centre code: 8101
  Address of School/College: Haldwani Cantt Military Area, Po Bhotia Parao Haldwani, Nainital, Uttarakhand, Nainital, Uttarakhand
  Pin: 263139
  Contact Nos: 5946221680
  Email: kvhaldwani@yahoo.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 93 93
Chemistry 100 76 76
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 77
English 100 92 92
   
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
04/2018 Cricket Regional level 3
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2021 Course in office automation and internet 3 month
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I like to spend my time with my family and friends.
Why do you wish to join TMI?: It is one of the best Merchant Navy College in India
What are your hobbies?: Reading,Playing football,cricket and volleyball,Travelling, Listening to music
What are your strengths?: Strong determination, tolerance, Patience, effective team player
What are your weaknesses?: slow learner, laid back attitude
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate 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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