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: DNS2050991 Name: YEOTKAR YASH KISHOR
  Address: NEW KHETAN NAGAR KAULKHED AKOLA
Telephone No.: Mobile no: 8999329634
E-mail: yeotkaryash@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 308058783
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050991 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: DNS2050991
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: YEOTKAR YASH KISHOR
Mother's Name: JYOTI KISHOR YEOTKAR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Oct 2002 Nationality: INDIAN
Place of Birth: AMRAVATI Personal Identification Mark: MOLE ON LEFT HAND WRIST
Blood Group: O + Address for Communication: NEW KHETAN NAGAR KAULKHED AKOLA
State: Maharashtra Country: India
Pin: 444001 City/District: AKOLA
Mobile no: 8999329634 Telephone No. with STD code:
Aadhar Card No:259925051404 E-mail: yeotkaryash@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: KISHOR MAHADEO YEOTKAR Relationship with candidate: FATHER
Parents Date of Birth: 20 Sep 1972 Parent's/Guardian's Occupation/Designation: PRIVATE SERVICE
   
Office Address:
   
Address: AT. POST. KANHERI SARAP TQ. BARSHITAKALI, DIST. AKOLA
Country: India State: Maharashtra
City/District: AKOLA Pin: 444401
Tel: Mobile no.: 9421822886
Fax: Email: kishor.yeotkar@basantagro.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: KHANDELWAL DNYANMANDIR CONVENT AKOLA School: AKOLA ARTS COMMERCE AND SCIENCE JUNIOR COLLEGE AKOLA
City: AKOLA City: AKOLA
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: HARISH COLONY, BEHIND SAHAKAR NAGAR, GAURAKSHAN ROAD, AKOLA, TQ. AKOLA, DIST. AKOLA
  Pin: 444001
  Contact Nos:
  Email: srpatilakola@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: SPENDING TIME FOR MY PHYSICAL FITNESS
Why do you wish to join TMI?: It is a reputed institute in india
What are your hobbies?: Drawing
What are your strengths?: Leadership Skill
What are your weaknesses?: Stage Fright
How do you intend to meet the expenses of this program?: Bank Loan
 
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 not uploaded
 
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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