Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: admissions@tmi.tolani.edu, Web: www.tolani.edu
Lateral Entry - B.Tech (Marine Engineering) 2021


Application Summary: Lateral Entry - B.Tech (Marine Engineering)
 
Dossier ID: LTE2186252 Name: MD NASIRUDDIN
  Address: 11/2H/5 MOULANA MOHAMMAD ALI ROAD KHIDDERPOR
Telephone No.: Mobile no: 9062102573
E-mail: nasiruddin4619@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ )
Transaction Id: 438333051
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2186252 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 3rd year diploma marks (if cleared in 2021) in order to complete your application form.
 

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: admissions@tmi.tolani.edu, Web: www.tolani.edu
Lateral Entry - B.Tech (Marine Engineering)

APPLICATION FOR ADMISSION - 2021

 
Dossier ID: LTE2186252
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: MD NASIRUDDIN
Mother's Name: NOOR JAHAN KHATOON  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 28 Sep 2002 Name as per passport:
Passport No.: Date of Expiry:
Place of Issue: Nationality:

((Note: If you do not have passport, you may apply for it as early as possible as passport is mandatory at the time of admission.)

Place of Birth: KOLKATA Personal Identification Mark: cut mark in left ankle
Blood Group: O + Address for Communication: 11/2H/5 MOULANA MOHAMMAD ALI ROAD KHIDDERPOR
State: West Bengal Country: India
Pin: 700023 City/District: KOLKATA
Mobile no: 9062102573 Telephone No. with STD code:
Aadhar Card No:430772436628 E-mail: nasiruddin4619@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MOHAMMAD NEZAMUDDIN Relationship with candidate: FATHER
Parents Date of Birth: 07 Dec 1974 Parent's/Guardian's Occupation/Designation: MEP DESIGNER AUTOCAD/ETLAL RESIDEN
   
Office Address:
   
Address: P.O. BOX 251, King Fahad Road, Riyadh
Country: Saudi Arabia State: Other
City/District: RIYADH Pin: 11411
Tel: Mobile no.: 9163319370
Fax: Email: Nezamuddin@coolcare.com.sa
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2018 Year of Joining: 2018
Board: ISCE Year of Passing: 2021
School Name: ST THOMAS BOYS SCHOOL Board: West Bengal
City: KOLKATA Name of College/Institution: TECHNIQUE POLYTECHNIC INSTITUTE
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 60 First year: 69
English: 70 Second year: 79
Address of School/College: 4, DIAMOND HARBOUR ROAD, KIDDERPORE, KOLKATA, WEST BENGAL Third year:
Pin: 700023 Aggregate Percentage:
Contact Nos:  
Email: principal@stsboys.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2012 10th National pool life saving sports championship NATIONAL LEVEL THIRD
04/2013 Calcutta district sub junior water polo championship DISTRICT LEVEL SECOND
12/2013 59th National school games swimming boys under 14 NATIONAL LEVEL PARTICIPATION
01/2015 Inter School Marathon SCHOOL LEVEL SEVENTH
 
Why do you wish to join TMI?: i wish to join TMI as the institute is one of the most reputed maritime institute and also practice of course offer in it are upto date.
What are your hobbies?: swimming, observing ,
What are your strengths?: focused, teamwork, flexibility, positive attitude
What are your weaknesses?: expecting too much from other, public speaking.
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
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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