8/12/2021 Degree Application Preview – Tolani Maritime Institute

Tolani Maritime Institute

Induri,Talegaon Dabhade, Pune - 410507

Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web:

www.tolani.edu

Marine Engineering / Nautical Science

Degree Programmes

(New Admission B.Tech. Marine Engineering /

B.Sc. Nautical Science 2021)

Application Summary:
 
Course Enrolled (First Choice): B.Sc. Nautical Course Enrolled (Second Choice): B.Tech.
Science Marine Engineering
Dossier ID: DEG2183649 Name: Mohd Fazeel Nomani
  Address: Sector-12,12/38 Indira Nagar
Telephone No.: Mobile no: 9919020317
E-mail: nabeelnomani5@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹
DD Number: -
)
Issuing Bank: - Transaction Id: 434549442
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier
ID DEG2183649 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________ ___________________

   
Date ________________ Date ________________
 

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8/12/2021 Degree Application Preview – Tolani Maritime Institute

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.

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8/12/2021 Degree Application Preview – Tolani Maritime Institute

Tolani Maritime Institute

Induri,Talegaon Dabhade, Pune - 410507

Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web:

www.tolani.edu

Marine Engineering / Nautical Science

Degree Programmes

(New Admission B.Tech. Marine Engineering /

B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Sc. Nautical Course: Second Choice B.Tech. Marine
Science Engineering
Dossier ID: DEG2183649
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mohd Fazeel Nomani
Mother's Name: Bushra Nomani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Mar 2002 Nationality: Indian
Place of Birth: Barabanki Personal Identification Mark: NONE
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 19 Mar 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required
for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
 
Address for Communication: Sector-12,12/38 Indira Nagar
State: Uttar Pradesh Country: India
Pin: 226016 City/District: Lucknow
Mobile no: 9919020317 Telephone No. with STD code:
Aadhar Card No:940404809394 E-mail: nabeelnomani5@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Adil Naseem
Relationship with candidate: Father
Nomani
Parent's/Guardian's Occupation/Designation:
Parents Date of Birth: 07 May 1960
Sr Accountant
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Office Address:
   
Address: Allahabad Rd, Sarva Palli,Bandariya Bag Railway colony,Gullistan colony
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226001
Tel: Mobile no.: 8545865962
Fax: Email: nblnomani@gmail.com
 

Education and Academic Record :

Class X: - Class XII: -

Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DELHI PUBLIC SCHOOL School: DELHI PUBLIC SCHOOL
City: Lucknow City: Lucknow
English %: 85 Board Roll No./Seat No.: 23695509
Aggregate Percentage: 88 School/College Code: 71017
Address of School/College: 4/26, gomti nagar
 
extension
  Centre code:
  Pin: 226010
  Contact Nos:
  Email: contact@dpsgomtinagar.com
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS

MARKS SECURED PERCENTAGE (%)
Physics 100 81 81
Chemistry 100 70 70
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 73.67
English 100 86 86
   
IMU CET Application Number:
 
CET21U1007055
 
How do you intend spending your time after completing class XII Final exams and before
joining college ?: class 12 exams have not been conducted yet.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for
you?: well I think nautical science is always good option for anyone who is looking to be in the
shipping industry and sail the world at large.As I am a person who loves travelling will definitely
love to travel to different places.
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Why do you wish to join TMI?: I wish to join TMI because TMI is a reputed institution and treats
students in a great way whether it be academics or physical training.
What are your hobbies?: i like to play guitar and i am a player of kabbaddi,cricket and hockey
What are your strengths?: stamina, endurance, responsibility, dedication, flexibility
What are your weaknesses?: too direct
How do you intend to meet the expenses of this program?: Own Resources
 
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

___________________

Date ________________

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