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: DNS2176622 Name: Mohammed Saad Shaikh
  Address: Madni society 30, ghorpadi peth Pune maharashtra Near ghorpadi peth police station
Telephone No.: Mobile no: 8623841502
E-mail: saadahklaque@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427347033
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176622 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: DNS2176622
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohammed Saad Shaikh
Mother's Name: Shahida
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jan 2003 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: Mose on left hand
Blood Group: B + Address for Communication: Madni society 30, ghorpadi peth Pune maharashtra Near ghorpadi peth police station
State: Maharashtra Country: India
Pin: 411042 City/District: Pune
Mobile no: 8623841502 Telephone No. with STD code:
Aadhar Card No:317941048375 E-mail: saadahklaque@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohsin Shaikh Relationship with candidate: Elder brother
Parents Date of Birth: 20 May 1987 Parent's/Guardian's Occupation/Designation: 2nd officer merchant navy
   
Office Address:
   
Address: Capital mall NIBM Kondhwa pune
Country: India State: Maharashtra
City/District: Pune Pin: 411048
Tel: Mobile no.: 7020166856
Fax: Email: saadahklaque@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: International Indian School School: Poona college
City: Al jubail City: Pune
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Centre code:
  Address of School/College: Hidaiyatul road camp pune
  Pin: 411001
  Contact Nos:
  Email: capt.manaalscoaching@gmail.com
  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 ?: Ill be grabbing more and more knowledge about merchant navy and syllabus about sea life
Why do you wish to join TMI?: TMI is indias best institute or asias best institute for marine studies
What are your hobbies?: Photography and playing football
What are your strengths?: I have positive attitude towards my work
What are your weaknesses?: I feel restless when my work is incomplete
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

 

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Date ________________

 
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