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: DNS2176826 Name: YOGESH
  Address: HOUSE NO.-1241,1ST FLOOR, SECTOR-4, DIST-REWARI, HARYANA VPO-GUGODH,DIST-REWARI,HARYANA
Telephone No.: Mobile no: 9996378263
E-mail: yogeshrao03@rediffmail.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: 427693557
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176826 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: DNS2176826
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: YOGESH
Mother's Name: SHIKSHA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Oct 2003 Nationality: INDIAN
Place of Birth: REWARI Personal Identification Mark: A MOLE ON CHIN
Blood Group: A + Address for Communication: HOUSE NO.-1241,1ST FLOOR, SECTOR-4, DIST-REWARI, HARYANA VPO-GUGODH,DIST-REWARI,HARYANA
State: Haryana Country: India
Pin: 123401 City/District: REWARI
Mobile no: 9996378263 Telephone No. with STD code:
Aadhar Card No: E-mail: yogeshrao03@rediffmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ANIL KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 05 Dec 1981 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: RAO JI TRADERS,GUGODH DIST-REWARI ,HARYANA
Country: India State: Haryana
City/District: REWARI Pin: 123303
Tel: Mobile no.: 9996378263
Fax: Email: neerajrao132003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Haryana Board: Haryana
School: SARASWATI SR.SEC. SCHOOL School: SARASWATI SR. SEC. SCHOOL
City: REWARI City: REWARI
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Centre code:
  Address of School/College: SARASWATI SR. SEC. SCHOOL GURIANI, HARYANA
  Pin: 123301
  Contact Nos:
  Email: ssssguriani@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2019 GRAMMER COMPETITION STATE LEVEL 3RD
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL JOIN ADVANCE COMPUTER CLASSES TO ENHANCE MY KNOWLEDGE.
Why do you wish to join TMI?: TMI IS KNOWN FOR ITS RIGOR AND HIGH STANDARD OF TRAINING WHICH TRANSFORMS PEOPLE INTO WELL ROUNDED INDIVIDUALS EQUIPPED WITH SKILLS TO EXCEL IN THEIR CAREER.
What are your hobbies?: READING BOOKS,TRAVELLING
What are your strengths?: I HAVE COLLABORATIVE NATURE AND ABILITY TO WORK WELL UNDER PRESSURE.
What are your weaknesses?: I AM VERY GOAL ORIENTED AND WORK HARD TO COMPLETE THE TASK.
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 not uploaded
 
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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