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: DNS2176252 Name: Mohd Ibrahim
  Address: Barchey kargil Ladakh. Barchey kargil Ladakh.
Telephone No.: Mobile no: 9419439823
E-mail: joharibra5@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427696623
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176252 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2176252
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohd Ibrahim
Mother's Name: Banoo
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Apr 2003 Nationality: Indian
Place of Birth: Ladakh Personal Identification Mark: Black mole on neck
Blood Group: A + Address for Communication: Barchey kargil Ladakh. Barchey kargil Ladakh.
State: Other Country: India
Pin: 194103 City/District: Kargil
Mobile no: 9419439823 Telephone No. with STD code:
Aadhar Card No: E-mail: joharibra5@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohd Ali Relationship with candidate: Father
Parents Date of Birth: 27 Jul 1969 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: Lal chowk kargil Ladakh. Lal chowk kargil Ladakh.
Country: India State: Other
City/District: Kargil Pin: 194103
Tel: Mobile no.: 9419439823
Fax: Email: joharibra5@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: JP international school School: Greets public school
City: Meerut City: Kochi
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 64 School/College Code:
  Centre code:
  Address of School/College: Ashoka road kaloor Kochi, Kerala.
  Pin: 682017
  Contact Nos:
  Email: office@gps.ac.in
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: My intend to spend my time after completing 12 class is to explore India.
Why do you wish to join TMI?: I wish to join TMI because to achieve my ambition and TMI is one of the best institute to reach such dream.
What are your hobbies?: My hobbies are to make food , to listen Music , video editing , travelling , batminton, etc.
What are your strengths?: My strengths are Hardwork, Honesty and unity.
What are your weaknesses?: My weaknesses are Overthinking and multitasking .
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form