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: DNS2175189 Name: ANSARI MOHAMMAD ALI MOHD ARIF
  Address: 99 ANSARI BUILDING NEAR JAKAT NAKA BUNDER MOHALLA BHIWANDI KAZIBAGH BUNDER MOHALLA BHIWANDI
Telephone No.: Mobile no: 7387007206
E-mail: mohdaliansari123@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 432202459
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175189 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: DNS2175189
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANSARI MOHAMMAD ALI MOHD ARIF
Mother's Name: LUBNA ANSARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Jul 2002 Nationality: INDIAN
Place of Birth: BHIWANDI Personal Identification Mark: MOLE ON LEFT SIDE OF CHEST
Blood Group: B + Address for Communication: 99 ANSARI BUILDING NEAR JAKAT NAKA BUNDER MOHALLA BHIWANDI KAZIBAGH BUNDER MOHALLA BHIWANDI
State: Maharashtra Country: India
Pin: 421308 City/District: BHIWANDI
Mobile no: 7387007206 Telephone No. with STD code:
Aadhar Card No:554093788146 E-mail: mohdaliansari123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MOHD ARIF ANSARI Relationship with candidate: FATHER
Parents Date of Birth: 01 Jun 1974 Parent's/Guardian's Occupation/Designation: FURNITURE DESIGNER
   
Office Address:
   
Address: 99 ANSARI BUILDING NEAR JAKAT NAKA BUNDER MOHALLA BHIWANDI KAZIBAGH BUNDER MOHALLA BHIWANDI
Country: India State: Maharashtra
City/District: BHIWANDI Pin: 421308
Tel: Mobile no.: 9970907206
Fax: Email: mohdaliansari123@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: SCHOLARS ENGLISH HIGH SCHOOL School: KMES COLLEGE
City: BHIWANDI City: BHIWANDI
English %: 72 Board Roll No./Seat No.: M026700
Aggregate Percentage: 76 School/College Code: 1619005
  Centre code: 1362
  Address of School/College: THANE ROAD BHIWANDI
  Pin: 421308
  Contact Nos: 7387007206
  Email: mohdaliansari123@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 69 69
Mathematics 100 73 73
Physics, Chemistry & Mathematics combined Percentage: 71.67
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 ?: After 12 I indulge myself in preparation of IMUCET also I kept myself busy by joining GYM.
Why do you wish to join TMI?: TMI provide good opportunity and give professional kickstart for my career. Most splendid is that Tolani is a top most rated in INDIA.
What are your hobbies?: FOOTBALL , CRICKET , SWIMMING, TRAVELLING give me refreshment, AND I also read VOYAGES NOVEL
What are your strengths?: SELF MOTIVATION , I am METICULOUS and DISCIPLINED person , I adore to MAINTIAIN my PHYSIQUE
What are your weaknesses?: I hardly have some, I might say my slightly deep sleep. Which is not a big deal
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 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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