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: DNS2175288 Name: Hamza khan
  Address: H. No 182 Pgbt college main road bhopal Shahjahanabad
Telephone No.: 09753100352 Mobile no: 9753100352
E-mail: hamzakhann098765@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175288 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: DNS2175288
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Hamza khan
Mother's Name: Shazia sultan
Gender (M/F): Male Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 28 Nov 2001 Nationality: Indian
Place of Birth: Bhopal Personal Identification Mark: Yes
Blood Group: B + Address for Communication: H. No 182 Pgbt college main road bhopal Shahjahanabad
State: Madhya Pradesh Country: India
Pin: 462001 City/District: Bhopal
Mobile no: 9753100352 Telephone No. with STD code: 09753100352
Aadhar Card No:361186701315 E-mail: hamzakhann098765@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Aftab akhtar Relationship with candidate: Father
Parents Date of Birth: 24 Apr 1986 Parent's/Guardian's Occupation/Designation: Sales advisor
   
Office Address:
   
Address: Al ain Grand mart Dubai
Country: United Arab Emirates State: Other
City/District: Al ain Pin: 971
Tel: 0755 Mobile no.: 9479582852
Fax: Email: hamzakhann098765@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Madhya Pradesh
School: Holy Family Convent Senior Secondary School School: All saints school
City: Bhopal City: Bhopal
English %: 75 Board Roll No./Seat No.: 206338812
Aggregate Percentage: 57 School/College Code: 632031
  Centre code: 623003
  Address of School/College: H. No 182 Pgbt college main road bhopal
  Pin: 462001
  Contact Nos: 09753100352
  Email: hamzakhann098765@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 75 75
Chemistry 100 57 57
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 69
English 100 78 78
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing 12th standard is a big relaxation for a while eventually they take Rest and work upon scenarios of building a carrer
Why do you wish to join TMI?: Because travelling and exploring new places is my hobbies And once a person makes a hobby a interest amhe can achieve it
What are your hobbies?: Travelling,
What are your strengths?: Communication, not giving up easily, teamwork
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 Class XII admit card 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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