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: DNS2052039 Name: Yashvardhan
  Address: Village mahchhi bankatwa Po ratanmala Ps majhaulia
Telephone No.: Mobile no: 8002896456
E-mail: yashvardhanofficial912@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 310070975
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052039 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: DNS2052039
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Yashvardhan
Mother's Name: Babli Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Dec 2001 Nationality: India
Place of Birth: Mahchhi Personal Identification Mark: Mole in right hand
Blood Group: O + Address for Communication: Village mahchhi bankatwa Po ratanmala Ps majhaulia
State: Bihar Country: India
Pin: 845454 City/District: West Champaran
Mobile no: 8002896456 Telephone No. with STD code:
Aadhar Card No:589617636671 E-mail: yashvardhanofficial912@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ashok Kumar Singh Relationship with candidate: Father
Parents Date of Birth: 14 Apr 1972 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: iti colony jaiprakash nagar, road no 12, Bettiah, west champaran, bihar
Country: India State: Bihar
City/District: West Champaran Pin: 845438
Tel: Mobile no.: 9430052512
Fax: Email: ashokkumarbth@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: St Xaviers Higher Secondary school School: Shantiniketan jubilee school
City: Bettiah City: Motihari
English %: 95 Board Roll No./Seat No.: 7614281
Aggregate Percentage: 89 School/College Code: 50093
  Centre code: 7046
  Address of School/College: Shantipuri, rahman colony, motihari, east champaran, bihar
  Pin: 845401
  Contact Nos: 06252241255
  Email: shantiniketanjubilee@gmail.com
  Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 56 56
Chemistry 100 68 68
Mathematics 100 35 35
Physics, Chemistry & Mathematics combined Percentage: 53
English 100 75 75
   
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
06/2015 Loyala Cup Football Tournament District Runner up
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend spending my time by preparing for imucet and improving my physical fitness after completing class XII final exam and before joining college.
Why do you wish to join TMI?: I wish to join tmi because it provide best education and have 100 percent placement record. It is one of the prestigious college for dns in india.
What are your hobbies?: I like to play football.
What are your strengths?: My parents are my strength.
What are your weaknesses?: No weaknesses.
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 Class XII admit card 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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