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: DNS2179294 Name: Mukhtar Alam
  Address: Mulabagh Naya tola Phulwari Shari Patna Maulabagh Naya tola Phulwari sharif Patna
Telephone No.: Mobile no: 7992250671
E-mail: mukhtaransari79922@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430314938
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179294 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: DNS2179294
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mukhtar Alam
Mother's Name: Jaibun Nisha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Jul 2002 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: Mark in Head
Blood Group: B + Address for Communication: Mulabagh Naya tola Phulwari Shari Patna Maulabagh Naya tola Phulwari sharif Patna
State: Bihar Country: India
Pin: 801505 City/District: Patna
Mobile no: 7992250671 Telephone No. with STD code:
Aadhar Card No:862502517798 E-mail: mukhtaransari79922@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Md Ayub Ansari Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1961 Parent's/Guardian's Occupation/Designation: self employed
   
Office Address:
   
Address: Mulabagh Naya tola Phulwari Shari Patna Maulabagh Naya tola Phulwari sharif Patna
Country: India State: Bihar
City/District: Patna Pin: 801505
Tel: Mobile no.: 7992250671
Fax: Email: mukhtarkhan79922@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Bihar Board: Bihar
School: High Schoool School: HIgh School
City: Patna City: Patna
English %: 46 Board Roll No./Seat No.: 19010165
Aggregate Percentage: 64 School/College Code: 801505
  Centre code: 17080
  Address of School/College: Mulabagh Naya tola Phulwari Shari Patna Maulabagh Naya tola Phulwari sharif Patna
  Pin: 801505
  Contact Nos: 07992250671
  Email: mukhtarkhan79922@gmail.com
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 81 81
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 80
English 100 86 86
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing class12 i play video games and listen music
Why do you wish to join TMI?: because this college come in best colleges
What are your hobbies?: playing videogames and listening music
What are your strengths?: i consider my self multitasking personality
What are your weaknesses?: i go by the rules a lot
How do you intend to meet the expenses of this program?: Own Resources,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
 
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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