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: DNS2050612 Name: Rahul yadav
  Address: H.no 596 laxman vihar ph2 gali no.2 near Shani Dev mandir
Telephone No.: Mobile no: 7982988971
E-mail: mohit.yadav9582106016@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 306625918
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050612 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2050612
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rahul yadav
Mother's Name: Suman
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Nov 2001 Nationality: Indian
Place of Birth: Dabla Personal Identification Mark: Mole on forearm
Blood Group: AB + Address for Communication: H.no 596 laxman vihar ph2 gali no.2 near Shani Dev mandir
State: Haryana Country: India
Pin: 122001 City/District: Gurugram
Mobile no: 7982988971 Telephone No. with STD code:
Aadhar Card No:325445566015 E-mail: mohit.yadav9582106016@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Kumar yadav Relationship with candidate: Son
Parents Date of Birth: 26 Dec 1976 Parent's/Guardian's Occupation/Designation: Employee in Hitachi metals
   
Office Address:
   
Address: Plot no. 94,95 sec8 Imt manesar Gurugram
Country: India State: Haryana
City/District: Gurugram Pin: 122052
Tel: Mobile no.: 9582106016
Fax: Email: rahul.yadav14111999@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Dev samaj Vidya niketan senior secondary school School: Dev samaj Vidya niketan senior secondary school
City: Gurugram City: Gurugram
English %: 86 Board Roll No./Seat No.: 2632488
Aggregate Percentage: 86 School/College Code: 04299
  Centre code: 2082
  Address of School/College: Krishna colony sec7 gurugram
  Pin: 122001
  Contact Nos:
  Email: dsvn.ggn@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 81 81
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 77
English 100 73 73
   
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
12/2016 100m race Inter school 1
11/2017 Kabaddi Inter school 2
11/2015 100m race Inter school 2
12/2016 Relay race Inter school 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Imu cet preparation
Why do you wish to join TMI?: Top institute in India with best faculty
What are your hobbies?: Running ,gym, football
What are your strengths?: Passion ,discipline
What are your weaknesses?: Altruistic person
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate Class XII admit card Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form