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: DNS2177025
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PATIL YASH SANJAY
Mother's Name: CHHAYA PATIL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 May 2002 Nationality: INDIAN
Place of Birth: TALEGAON RO Personal Identification Mark: Mole on left side neck
Blood Group: A + Address for Communication: 109, RAILWAY GATE, SALSANE ROAD , TALEGAON ROHI TAL. CHANDWAD DIST. NASHIK, MAHARASHTRA-423104
State: Maharashtra Country: India
Pin: 423104 City/District: NASHIK
Mobile no: 9021482169 Telephone No. with STD code:
Aadhar Card No:876223316018 E-mail: patilyash0104@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANJAY PATIL Relationship with candidate: FATHER
Parents Date of Birth: 27 Apr 1975 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: 109, RAILWAY GATE, SALSANE ROAD , TALEGAON ROHI TAL. CHANDWAD DIST. NASHIK, MAHARASHTRA-423104
Country: India State: Maharashtra
City/District: NASHIK Pin: 423104
Tel: Mobile no.: 9021482169
Fax: Email: PATILYASH0104@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: SANT DNYANESHWAR HIGH SCHOOL School: LOKNETE DATTAJI PATIL JUNIOR COLLEGE
City: TALEGAON ROHI City: LASALGAON
English %: 78 Board Roll No./Seat No.: S022137
Aggregate Percentage: 89 School/College Code: 1308008
  Centre code: 0267
  Address of School/College: LASALGAON, TAL. NIPHAD DIST. NASHIK, MAHARASHTRA-422306
  Pin: 422306
  Contact Nos: 09021482169
  Email: PATILYASH0104@GMAIL.COM
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 85 85
Mathematics 100 96 96
Physics, Chemistry & Mathematics combined Percentage: 86.33
English 100 57 57
   
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
01/2018 KABBADI INTER SCHOOL COMPETITION FIRST WINNER
01/2018 KHO KHO INTER SCHOOL COMPETITION FIRST WINNER
04/2018 400 M RACE INTER SCHOOL COMPETITION FIRST WINNER
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
10/2020 AI MASTER CLASS PYTHON 30 DAYS
10/2020 INTERNSHIP ON AI 30 DAYS
09/2020 30 DAYS INTERNSHIP ON MATLAB 30 DAYS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: As my father is farmer. So after class XII final exam I spent my time in farm work. I have also completed various course on computer language like AI Master class, Arduino class, etc.
Why do you wish to join TMI?: At present this is the best Maritime academy in India with maximum training, knowledge and placement percentage. It is half way to success. And the other reason is obviously the degree that I will getting from IMU.
What are your hobbies?: Travel , Sports such as competing on a team or in a league ,
What are your strengths?: Leadership, Creativity, Patience, Discipline, etc.
What are your weaknesses?: I focus too much on the details.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.