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: DNS2177527 Name: Yuvraj Singh
  Address: Village- Gumar, Tehsil- Ganaur, Near Gram Panchayat Gumar
Telephone No.: Mobile no: 7082867548
E-mail: ys0143587@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 428390469
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177527 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: DNS2177527
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Yuvraj Singh
Mother's Name: Urmila Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jun 2002 Nationality: Indian
Place of Birth: Gumar Personal Identification Mark: Mole on face
Blood Group: A + Address for Communication: Village- Gumar, Tehsil- Ganaur, Near Gram Panchayat Gumar
State: Haryana Country: India
Pin: 131101 City/District: Sonipat
Mobile no: 7082867548 Telephone No. with STD code:
Aadhar Card No:236451093032 E-mail: ys0143587@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BijenderPal Relationship with candidate: Father
Parents Date of Birth: 01 Apr 1975 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Village- Gumar, Tehsil- Ganaur, Near Gram Panchayat Gumar
Country: India State: Haryana
City/District: Sonipat Pin: 131101
Tel: Mobile no.: 9466824014
Fax: Email: ys9008354@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Haryana Board: CBSE
School: Shivalik Public School School: Babu Ram Global School
City: Sonipat City: Ganaur
English %: 68 Board Roll No./Seat No.: 17693428
Aggregate Percentage: 81 School/College Code: 41181
  Centre code: 4280
  Address of School/College: Nearest Railway Station Ganaur Distance in KM 1.5
  Pin: 131101
  Contact Nos: 09466824014
  Email: ys9008354@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 76 76
Chemistry 100 90 90
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 79
English 100 76 76
   
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
10/2018 Volleyball Interschool Ist
09/2019 Kabaddi Interschool Second
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing my 12th board examination,I intend to undertake quite a few activities to enhance my knowledge and skills. I will be enrolling myself with a tuition centre to prepare for important subjects like Physics,Chemistry and Maths. I want to attain a good score in my examinations so that I enter the college of my dreams.
Why do you wish to join TMI?: Because TMI comes in top maritime institutes and many good companies are come in TMI.
What are your hobbies?: I love playing volleyball
What are your strengths?: I do my work honestly and peacefully.
What are your weaknesses?: Taking too many risks.
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 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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