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: DNS2173464 Name: YADAV NIRAJ VIKAS
  Address: 1506/07 , FLAT NO-401 , BALKRUSHN APPARTMENT , NEAR SHAHU BANK MANGALWAR PETH
Telephone No.: Mobile no: 9673434545
E-mail: niraj29yadav@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425266966
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173464 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: DNS2173464
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: YADAV NIRAJ VIKAS
Mother's Name: SANGITA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Sep 2001 Nationality: INDIAN
Place of Birth: KOLHAPUR Personal Identification Mark: MOLE ON LEFT ARM
Blood Group: A + Address for Communication: 1506/07 , FLAT NO-401 , BALKRUSHN APPARTMENT , NEAR SHAHU BANK MANGALWAR PETH
State: Maharashtra Country: India
Pin: 416012 City/District: KOLHAPUR
Mobile no: 9673434545 Telephone No. with STD code:
Aadhar Card No:886221501204 E-mail: niraj29yadav@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: VIKAS Relationship with candidate: FATHER
Parents Date of Birth: 02 Dec 1972 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: MUTTON MARKET ROAD NEAR PADMA TALKIES
Country: India State: Maharashtra
City/District: KOLHAPUR Pin: 416002
Tel: Mobile no.: 9881013461
Fax: Email: vikas.pointer@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: VIMALA GOENKA ENGLISH MEDIUM SCHOOL School: NARAKES PANHALA PUBLIC SCHOOL
City: KOLHAPUR City: KOLHAPUR
English %: 79 Board Roll No./Seat No.: X047767
Aggregate Percentage: 86 School/College Code: 0526
  Centre code: 0526
  Address of School/College: AT POST PANHALA TALUKA PANHALA DISTRICT KOLHAPUR
  Pin: 416201
  Contact Nos: 9168539900
  Email: ppspanhala@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 69 69
Chemistry 100 67 67
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 69
English 100 84 84
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WOULD LIKE TO SPEND MOST OF MY TIME STUDYING FOR THE EXAMS ALSO I WOULD LIKE TO IMPROVE MY SPECIFIC SET OF SKILLS.
Why do you wish to join TMI?: I HAVE HEARD ABOUT TMI A LOT. IT IS VERY WELL RECOGNIZED COLLEGE
What are your hobbies?: PLAYING CRICKET AND READING BOOKS
What are your strengths?: LEADERSHIP SKILL
What are your weaknesses?: PROCRASTINATION
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 not uploaded 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