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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2175825 Name: Anchal Vijay Yadav
  Address: Behind Derpan Soc. P.H.Q. road ,. Abrama Valsad-396001
Telephone No.: 07990820612 Mobile no: 7990820612
E-mail: anitayyyyy13@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 428030398
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2175825 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2175825
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Anchal Vijay Yadav
Mother's Name: Anita
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Jul 2003 Nationality: Indian
Place of Birth: Valsad Personal Identification Mark: Black eyeball
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 23 Jul 2003 Nationality: Indian
Gender (M/F): Female 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: Behind Derpan Soc. P.H.Q. road ,. Abrama Valsad-396001
State: Gujarat Country: India
Pin: 396001 City/District: Valsad
Mobile no: 7990820612 Telephone No. with STD code: 07990820612
Aadhar Card No: E-mail: anitayyyyy13@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Anita Yadav Relationship with candidate: Daughter
Parents Date of Birth: 04 Nov 1979 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: Behind Derpan Soc. P.H.Q. road ,. Abrama Valsad-396001
Country: India State: Gujarat
City/District: Valsad Pin: 396001
Tel: Mobile no.: 7990820612
Fax: Email: anitayyyyy13@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Gujarat Board: Gujarat
School: St. Joseph E.T. High School School: St. Joseph E.T high School
City: Valsad City: Valsad
English %: 82 Board Roll No./Seat No.: 21V-156839
Aggregate Percentage: 84 School/College Code: 16022
  Address of School/College: Behind Derpan Soc. P.H.Q. road ,. Abrama Valsad-396001
  Centre code: 0B2
  Pin: 396001
  Contact Nos: 07990820612
  Email: anitayyyyy13@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 105 70
Chemistry 150 108 72
Mathematics 100 73 73
Physics, Chemistry & Mathematics combined Percentage: 71.67
English 100 73 73
   
IMU CET Application Number: CET21U1002464  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Still in 12th
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Good opportunity for women empowerment
Why do you wish to join TMI?: One of the best institute in India
What are your hobbies?: Swimming
What are your strengths?: Grasping new things
What are your weaknesses?: Nothing
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
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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