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 Science Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2172906 Name: yashkumar chandrabhan singh
  Address: flat no D104, plot no 43/44/43, sec 5A Hari Mahal, near railway crossing, New panvel
Telephone No.: Mobile no: 9082477828
E-mail: yashksingh1510@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425022600
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2172906 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
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 Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2172906
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: yashkumar chandrabhan singh
Mother's Name: preeti singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jun 2002 Nationality: Indian
Place of Birth: Panvel Personal Identification Mark: mole on right palm
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 15 Jun 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: flat no D104, plot no 43/44/43, sec 5A Hari Mahal, near railway crossing, New panvel
State: Maharashtra Country: India
Pin: 410206 City/District: raigad
Mobile no: 9082477828 Telephone No. with STD code:
Aadhar Card No:560795710163 E-mail: yashksingh1510@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: chandrabhan singh Relationship with candidate: father
Parents Date of Birth: 01 Jan 1968 Parent's/Guardian's Occupation/Designation: engineer
   
Office Address:
   
Address: jsw steel dolvi works, Takluka Pen Dolvi, Maharashtra
Country: India State: Maharashtra
City/District: raigad Pin: 402107
Tel: Mobile no.: 9819964213
Fax: Email: chandrabhansingh968@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: st josephs high school navi mumbai raigad School: new horizon public school panvel raigad
City: new panvel City: panvel
English %: 86 Board Roll No./Seat No.: 15619631
Aggregate Percentage: 78 School/College Code: 30180
  Address of School/College: new horizon public school sec13 khanda colony new panvel navi mumbai
  Centre code: 3214
  Pin: 410206
  Contact Nos:
  Email: nhpsnp@yahoo.co.in
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 73 73
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 71
English 100 83 83
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2018 cricket u17 district level 1st
10/2019 cricket u19 disrict level 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: focused on some skill development like drawing etc, also focused on playing professional cricket
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i wish to have a thrilling and lavish life in the coming future
Why do you wish to join TMI?: It is one of the best institute in marine educaton.
What are your hobbies?: playing cricket and draing
What are your strengths?: i am hard working and a good speaker.
What are your weaknesses?: nil
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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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