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)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049833 Name: YUVRAJ SINGH SHEKHAWAT
  Address: HOUSE NO 96 SECTOR 6 VIDHYADHAR NAGAR
Telephone No.: Mobile no: 9511587462
E-mail: yuvishekhawat25@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 304613905
   
   
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 ________________
 
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
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2020

 
  Dossier ID: DNS2049833
 
Applicant's Personal Information:
 
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
 
Guardian's Particulars:
 
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
   
Office Address:
   
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
 

Education and Academic Record :


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
  Centre code: 0155
  Address of School/College: JHOTWARA , ARMY CANTT
  Pin: 302012
  Contact Nos:
  Email: KV2JAIPUR@GMAIL.COM
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
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
   
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
08/2014 TAEKWONDO STATE 3
 
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
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded 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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