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: DNS2175925 Name: Yashdeep Singh Malhotra
  Address: K 602 Avj heights Zeta 1
Telephone No.: Mobile no: 9315015765
E-mail: yashdeep602@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 426668068
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175925 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: DNS2175925
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Yashdeep Singh Malhotra
Mother's Name: Indu malhotra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jun 2002 Nationality: Indian
Place of Birth: Punjab Personal Identification Mark: Birth mark below stomach
Blood Group: O + Address for Communication: K 602 Avj heights Zeta 1
State: Uttar Pradesh Country: India
Pin: 201301 City/District: Greater noida Gautama Buddha nagar
Mobile no: 9315015765 Telephone No. with STD code:
Aadhar Card No:705306959484 E-mail: yashdeep602@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Satpal Singh Malhotra Relationship with candidate: Father
Parents Date of Birth: 19 Dec 1966 Parent's/Guardian's Occupation/Designation: Deputy manager,Honda India
   
Office Address:
   
Address: Plot no.5 Sector 41
Country: India State: Uttar Pradesh
City/District: Greater noida Gautama Buddha nagar Pin: 201301
Tel: Mobile no.: 9911813597
Fax: Email: satpal.malhotra@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Delhi Public School Greater Noida School: Delhi Public School Greater Noida
City: Greater noida City: Greater Noida
English %: 93 Board Roll No./Seat No.: 21645119
Aggregate Percentage: 91 School/College Code: 60189
  Centre code: 6128
  Address of School/College: Sector gamma 2
  Pin: 201308
  Contact Nos: 01204612300
  Email: greaternoida@dpsfamily.org
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 81 81
Chemistry 100 74 74
Mathematics 100 82 82
Physics, Chemistry & Mathematics combined Percentage: 79
English 100 90 90
   
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
08/2018 Athletics Inter school 2
11/2018 Orchestra Nationals 1
11/2017 Orchestra Nationals 1
 
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 competitive exams and learning new songs on guitar
Why do you wish to join TMI?: I want to join TMI for a better learning experience and a good carrier in merchant navy
What are your hobbies?: Playing guitar is my hobby
What are your strengths?: I stay optimistic most of the times
What are your weaknesses?: Inability to achieve my desires upsets me sometimes
How do you intend to meet the expenses of this program?: Own Resources
 
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 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