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: DNS2051489 Name: VAIBHAV KUMAR YAJEE
  Address: VILL MADHODIH PO SATANPUR PS UJIARPUR
Telephone No.: Mobile no: 9534846790
E-mail: vaibhavyajee312001@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 308952735
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051489 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: DNS2051489
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VAIBHAV KUMAR YAJEE
Mother's Name: VANDNA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Jan 2001 Nationality: INDIAN
Place of Birth: MADHODIH Personal Identification Mark: A CUT MARK ON THE FORHEAD
Blood Group: A + Address for Communication: VILL MADHODIH PO SATANPUR PS UJIARPUR
State: Bihar Country: India
Pin: 848132 City/District: SAMASTIPUR
Mobile no: 9534846790 Telephone No. with STD code:
Aadhar Card No:578287241825 E-mail: vaibhavyajee312001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MITHILANAND YAJEE Relationship with candidate: FATHER
Parents Date of Birth: 05 Mar 1977 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VILL MADHODIH PO SATANPUR PS UJIARPUR
Country: India State: Bihar
City/District: SMASTIPUR Pin: 848132
Tel: Mobile no.: 7016515262
Fax: Email: vaibhavyajee312001@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Bihar Board: Bihar
School: SARVODAY HIGH SCHOOL CHANDCHOUR MATHURAPUR School: K S R I COLLEGE SARAIRANJAN
City: SAMASTIPUR City: SAMASTIPUR
English %: 37 Board Roll No./Seat No.: 18010587
Aggregate Percentage: 59 School/College Code: 53033
  Centre code: 53033
  Address of School/College: SARAIRANJAN SAMASTIPUR
  Pin: 848127
  Contact Nos:
  Email: info@ksrcollege.org
  Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 50 50
Chemistry 100 55 55
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 60
English 100 63 63
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: IN SELF STUDY
Why do you wish to join TMI?: FOR STUDY
What are your hobbies?: READING
What are your strengths?: DISCIPLINE
What are your weaknesses?: LAC OF RESOURCES
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
 
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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