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: DEG2192180 Name: YUVRAJ SINGH SHEKHAWAT
  Address: C 3-4, NEW COLONY SATYA NAGAR JHOTWARA
Telephone No.: Mobile no: 9610022220
E-mail: sumanshekhawat1976@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13679083559
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2192180 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: DEG2192180
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: YUVRAJ SINGH SHEKHAWAT
Mother's Name: SUMAN SHEKHAWAT
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Feb 2004 Nationality: Indian
Place of Birth: ROOPPURA Personal Identification Mark: Black small mole on right chin
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 25 Feb 2004 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: C 3-4, NEW COLONY SATYA NAGAR JHOTWARA
State: Rajasthan Country: India
Pin: 302012 City/District: JAIPUR
Mobile no: 9610022220 Telephone No. with STD code:
Aadhar Card No:916786734201 E-mail: sumanshekhawat1976@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SUMAN SHEKHAWAT Relationship with candidate: MOTHER
Parents Date of Birth: 13 Jun 1976 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: GOVT SR SEC SCHOOL JHOTWARA
Country: India State: Rajasthan
City/District: JAIPUR Pin: 302012
Tel: 9610022220 Mobile no.: 9610022220
Fax: Email: sumanshekhawat1976@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Rajasthan Board: Rajasthan
School: SHEKHAWATI PUB SR SEC SCHOOL School: SHEKHAWATI SR SEC SCHOOL
City: LOSAL City: LOSAL
English %: 83 Board Roll No./Seat No.: 1691775
Aggregate Percentage: 67 School/College Code: 1220056
  Address of School/College: SHEKHAWATI SR SEC SCHOOL, LOSAL, SIKAR
  Centre code: 1220056
  Pin: 332025
  Contact Nos: 01577275470
  Email: admin@shekhawatilosal.com
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 89 89
Chemistry 100 89 89
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 87.33
English 100 84 84
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for IMU CET and other competitive exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Good and challenging carrier with excellent growth chances.
Why do you wish to join TMI?: TMI is one of the best Maritime college in India.
What are your hobbies?: basketball, cricket
What are your strengths?: hardworking, fast learner
What are your weaknesses?: none
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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