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: DNS2176273 Name: MUHAMMED RAKKAN BIN FIROZ KHAN
  Address: Littile Hut, Krishna Nagar Colony, Kolathara, Cheruvannur, Kolathara, Kozhikode, kerala, 673655
Telephone No.: Mobile no: 9961177009
E-mail: muhammedrakhan33@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 434319248
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176273 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: DNS2176273
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MUHAMMED RAKKAN BIN FIROZ KHAN
Mother's Name: MUNEERA FIROZ KHAN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jan 2002 Nationality: INDIAN
Place of Birth: RIYADH KSA Personal Identification Mark: BLACK MOLE ON THE RIGHT BACK SHOULDER
Blood Group: O + Address for Communication: Littile Hut, Krishna Nagar Colony, Kolathara, Cheruvannur, Kolathara, Kozhikode, kerala, 673655
State: Kerala Country: India
Pin: 673655 City/District: CALICUT
Mobile no: 9961177009 Telephone No. with STD code:
Aadhar Card No:943043264801 E-mail: muhammedrakhan33@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: FIROZ KHAN CHUKKA MELOTTIL Relationship with candidate: SON
Parents Date of Birth: 10 Mar 1967 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: viron water purifier, kakkodi, opp of panama bar soap calicut, kerala, 673317
Country: India State: Kerala
City/District: CALICUT Pin: 673317
Tel: Mobile no.: 7736388990
Fax: Email: salwa.firoz@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: AL-FAROOK RES SR SEC SCH FAROOK COLL CALICUT KL School: FAROOK HSS FAROOK COLLEGE P O KOZHIKODE
City: Kozhikode City: Kozhikode
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: FAROOK HSS, FAROOK COLLEGE RD, FAROOK COLLEGE, KERALA, 673632
  Pin: 673632
  Contact Nos:
  Email: farookhss2@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
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 ?: navigation, marine life and world map. Focus more on physical and mental fitness. Learn basics of a new language and instrument. Prepare for sponsorship examination and interview. Go for cycling and play games like badminton and football. I am also planning to work part time so that I can earn during vacations.
Why do you wish to join TMI?: TMI is one of the best Maritime academy in India with maximum training, knowledge and guaranteed placement. They also have the best alumni network, infrastructure and quality education. Being a student in TMI would not only empower my career development, but also enable me to get the best opportunities further down the road.
What are your hobbies?: Reading, Writing, Cycling, Running, Music
What are your strengths?: I have an ardent desire to lead an adventurous life and take up a challenging career. I can handle responsibilities and have a disciplined attitude. Self control is another great quality of mine and I adapt any kind of situations. I embrace teamwork, good tolerance power and work hard.
What are your weaknesses?: I spend a lot of time being a perfectionist and sometimes I am too helpful.
How do you intend to meet the expenses of this program?: Bank Loan
 
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