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: DNS2183371
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MOHD AHSAN KHAN
Mother's Name: SHAWANA KHAN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2004 Nationality: INDIAN
Place of Birth: KHALILABAD Personal Identification Mark: BLACK DOT ON LEFT SIDE BETWEEN LIPS AND NOSE
Blood Group: O + Address for Communication: INFRONT OF NAGAR PALIKA AZAD CHOWK KHALILABAD,SANT KABIR NAGAR
State: Uttar Pradesh Country: India
Pin: 272175 City/District: SANT KABIR NAGAR
Mobile no: 6389535099 Telephone No. with STD code:
Aadhar Card No:328629866806 E-mail: ahsankld321@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHAWANA KHAN Relationship with candidate: MOTHER
Parents Date of Birth: 29 Sep 1981 Parent's/Guardian's Occupation/Designation: GOVT. TEACHER,KHALILABAD
   
Office Address:
   
Address: INFRONT OF NAGAR PALIKA AZAD CHOWK KHALILABAD
Country: India State: Uttar Pradesh
City/District: SANT KABIR NAGAR Pin: 272175
Tel: Mobile no.: 7617088596
Fax: Email: ahsankld321@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: IQRA PUBLIC SCHOOL School: SURYA INTERATIONAL ACADEMY
City: ALIGARH City: KHALILABAD
English %: 55 Board Roll No./Seat No.:
Aggregate Percentage: 55 School/College Code:
  Centre code:
  Address of School/College: GPS PG,COLLAGE ROAD,KHALILABAD
  Pin: 272175
  Contact Nos:
  Email: siakhalilabad@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 ?: Due to covid-19 I preparing for exam at home
Why do you wish to join TMI?: Because I would like like to make carrer at merchant navy and TMI is ine of the best destination for me to join and make future in merchant navy
What are your hobbies?: playing cricket,badminton and football
What are your strengths?: Creativity,Posivite,Leaderdhip skillls
What are your weaknesses?: Public speaking
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.