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Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science 2020)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2049833 |
Name: YUVRAJ SINGH SHEKHAWAT |
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Address: HOUSE NO 96 SECTOR 6 VIDHYADHAR NAGAR |
| Telephone No.: |
Mobile no: 9511587462 |
| E-mail: yuvishekhawat25@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 304613905 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049833 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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| Date ________________ |
Date ________________ |
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| 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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Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )
APPLICATION FOR ADMISSION - 2020
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| Applicant's Personal Information: |
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| Full Name as on Class XII Marksheet/Pass Certificate: YUVRAJ SINGH SHEKHAWAT |
| Mother's Name: PUSHPA SHEKHAWAT |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 02 Sep 2002 |
Nationality: INDIAN |
| Place of Birth: JAIPUR |
Personal Identification Mark: CUT MARK NEAR LIP |
| Blood Group: B + |
Address for Communication: HOUSE NO 96 SECTOR 6 VIDHYADHAR NAGAR |
| State: Rajasthan |
Country: India |
| Pin: 302039 |
City/District: JAIPUR |
| Mobile no: 9511587462 |
Telephone No. with STD code: |
| Aadhar Card No:466953626276 |
E-mail: yuvishekhawat25@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: JAIDEEP SINGH SHEKHAWAT |
Relationship with candidate: FATHER |
| Parents Date of Birth: 12 Nov 1975 |
Parent's/Guardian's Occupation/Designation: BUSSINESS |
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| Office Address: |
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| Address: HOUSE NO 96 SECTOR 6 VIDHYADHAR NAGAR |
| Country: India |
State: Rajasthan |
| City/District: JAIPUR |
Pin: 302039 |
| Tel: |
Mobile no.: 9785293639 |
| Fax: |
Email: jaideepshekhawat@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2017 |
Year of Passing: 2019 |
| Board: CBSE |
Board: CBSE |
| School: KENDRIYA VIDALAYA |
School: KENDRIYA VIDALAYA |
| City: JAIPUR |
City: JAIPUR |
| English %: 95 |
Board Roll No./Seat No.: 1638208 |
| Aggregate Percentage: 95 |
School/College Code: 0313 |
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Centre code: 0155 |
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Address of School/College: JHOTWARA , ARMY CANTT |
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Pin: 302012 |
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Contact Nos: |
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Email: KV2JAIPUR@GMAIL.COM |
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Aggregate Percentage: 73 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
75 |
75 |
| Chemistry |
100 |
78 |
78 |
| Mathematics |
100 |
63 |
63 |
| Physics, Chemistry & Mathematics combined Percentage: |
72 |
| English |
100 |
85 |
85 |
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| IMU CET Application Number: |
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| Sports & Extra Curricular Activities: |
| Achievements in Sports and Extra Curricular Activities |
| MONTH / YEAR (MM/YYYY) |
SPORT/ACTIVITY |
LEVEL OF PARTICIPATION |
POSITION |
| 08/2014 |
TAEKWONDO |
STATE |
3 |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: BY WORKING ON GK PORTION AND GENERAL ABILITY |
| Why do you wish to join TMI?: BECAUSE TMI IS LARGEST MARITIME INSTITUTE WHICH OFFERS VARIOUS DEGREE PROGRAMS |
| What are your hobbies?: PLAYING CRICKET |
| What are your strengths?: FAMILY |
| What are your weaknesses?: BARGANING |
| How do you intend to meet the expenses of this program?: Own Resources |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card not uploaded
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Class XII marksheet
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| 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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