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 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2170971 Name: Vaibhav Yadav
  Address: mominpur kala rithi jaunpur up mominpur kala rithi jaunpur up
Telephone No.: Mobile no: 6388385276
E-mail: vaibhavydv18@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 422632309
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170971 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 - 2021

 
  Dossier ID: DNS2170971
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vaibhav Yadav
Mother's Name: Geeta Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 May 2002 Nationality: Indian
Place of Birth: Jaunpur UP Personal Identification Mark: cut mark left eyebrow
Blood Group: B + Address for Communication: mominpur kala rithi jaunpur up mominpur kala rithi jaunpur up
State: Uttar Pradesh Country: India
Pin: 222131 City/District: Jaunpur
Mobile no: 6388385276 Telephone No. with STD code:
Aadhar Card No:566985872152 E-mail: vaibhavydv18@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Avadhesh Yadav Relationship with candidate: Father
Parents Date of Birth: 16 Apr 1972 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Mominpur kala rithi jaunpur UP Mominpur kala rithi jaunpur UP
Country: India State: Uttar Pradesh
City/District: Jaunpur Pin: 222131
Tel: Mobile no.: 8953006162
Fax: Email: vy3675145@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Uttar Pradesh Board: CBSE
School: mata prasad adarsh i c b sherwa jaunpur School: Baba banwari lal inter college
City: Jaunpur City: Ghazipur
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: majui daulat nagar ghazipur
  Pin: 275204
  Contact Nos:
  Email: vy3675145@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 ?: I am studying for imucet and working on my weaknesses.
Why do you wish to join TMI?: TMI is one of the best maritime institute in India
What are your hobbies?: playing cricket ,music drowing
What are your strengths?: physics and maths
What are your weaknesses?: chemistry
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

 

___________________

Date ________________

 
Print Summary and Application Form