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: DNS2176537 Name: Shivendra Yadav
  Address: 135-A Sudharshan Housing Society, Near J.K. Kids School,Vinayakpur
Telephone No.: Mobile no: 8299810279
E-mail: yshivendra91@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 436641976
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176537 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 - 2021

 
  Dossier ID: DNS2176537
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shivendra Yadav
Mother's Name: Shikha Yadav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Apr 2002 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: No
Blood Group: O + Address for Communication: 135-A Sudharshan Housing Society, Near J.K. Kids School,Vinayakpur
State: Uttar Pradesh Country: India
Pin: 208024 City/District: KANPUR NAGAR
Mobile no: 8299810279 Telephone No. with STD code:
Aadhar Card No:513920934671 E-mail: yshivendra91@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shikha Yadav Relationship with candidate: Mother
Parents Date of Birth: 01 Jul 1973 Parent's/Guardian's Occupation/Designation: Professor
   
Office Address:
   
Address: Maharana Pratap Government Degree College, Sitapur Bypass Road, Saiyapurwa, Hardoi, Uttar Pradesh 241001
Country: India State: Uttar Pradesh
City/District: Hardoi Pin: 241001
Tel: Mobile no.: 9450405195
Fax: Email: yshikha885@gmail.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 School: Delhi Public School
City: KANPUR NAGAR City: KANPUR NAGAR
English %: 76 Board Roll No./Seat No.: 23655213
Aggregate Percentage: 79 School/College Code: 70748
  Centre code: 7153
  Address of School/College: 287-295, Bithoor road, Singhpur, Kalyanpur, Kanpur
  Pin: 208017
  Contact Nos:
  Email: dpskalyanpur@superhousegroup.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 82 82
Mathematics 100 72 72
Physics, Chemistry & Mathematics combined Percentage: 78
English 100 88 88
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I usually spend my time preparing for upcoming competitive exams, improving my communication skills, reading newspaper, books and watching movies.
Why do you wish to join TMI?: I wish to join TMI because of its best infrastructure and strict schedule of cadets during training
What are your hobbies?: Fitness And Movies
What are your strengths?: I am hardworking and determined
What are your weaknesses?: I easily believe other people
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 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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