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: DNS2179332 Name: rahul yadav
  Address: HOUSE NO-596 LAXMAN VIHAR PH-2 GALI NO-2 NEAR SHANI DEV MANDIR
Telephone No.: 7982988971 Mobile no: 7982988971
E-mail: rahul.yadav14111999@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 430349096
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179332 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: DNS2179332
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: rahul yadav
Mother's Name: suman
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Nov 2001 Nationality: Indian
Place of Birth: dabla Personal Identification Mark: mole on right forearm
Blood Group: AB + Address for Communication: HOUSE NO-596 LAXMAN VIHAR PH-2 GALI NO-2 NEAR SHANI DEV MANDIR
State: Haryana Country: India
Pin: 122001 City/District: GURUGRAM
Mobile no: 7982988971 Telephone No. with STD code: 7982988971
Aadhar Card No:325445566015 E-mail: rahul.yadav14111999@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJESH KUMAR YADAV Relationship with candidate: FATHER
Parents Date of Birth: 26 Dec 1976 Parent's/Guardian's Occupation/Designation: EMPLOYEE
   
Office Address:
   
Address: PLOT NO 94 ,95 IMT RD ,SEC-8 IMT MANESAR GURUGRAM ,HARYANA
Country: India State: Haryana
City/District: GURUGRAM Pin: 122001
Tel: Mobile no.: 9582106016
Fax: Email: rajesh261276@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: DEV SAMAJ VIDYA NIKETAN SENIOR SECONDARY SCHOOL School: DEV SAMAJ VIDYA NIKETAN SENIOR SCHOOL
City: GURUGRAM City: GURUGRAM
English %: 86 Board Roll No./Seat No.: 2632488
Aggregate Percentage: 86 School/College Code: 04299
  Centre code: 2082
  Address of School/College: KRISHNA COLONY SEC 7,GURUGRAM ,HARYANA
  Pin: 122001
  Contact Nos:
  Email: dsvn.ggn@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 81 81
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 77
English 100 73 73
   
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
11/2017 kabaddi zonal level 2
11/2015 relay race zonal level 1
05/2015 100m race zonal level 1
11/2016 relay race zonal level 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: improving my communication skills and developing a habit to read books
Why do you wish to join TMI?: as tmi is the best institute of the india provides best training to cadets
What are your hobbies?: sprinting ,kabaddi,watching inspirational movies
What are your strengths?: honesty,discipline
What are your weaknesses?: im a altruistic kind of person
How do you intend to meet the expenses of this program?: Own Resources,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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