Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG7067918
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: YOGENDRA SINGH SHAKTAWAT
Mother's Name: ANJU BALA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Aug 2003 Nationality: INDIAN
Place of Birth: JHALAWAR Personal Identification Mark: MOLE UNDER LIPS
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 15 Aug 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
 
Address for Communication: GANPATI RESIDENCY RAIPUR
State: Rajasthan Country: India
Pin: 326036 City/District: JHALAWAR
Mobile no: 9352082350 Telephone No. with STD code:
Aadhar Card No: E-mail: yss916642@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SURENDRA SINGH SHAKTAWAT Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1977 Parent's/Guardian's Occupation/Designation: UDC
   
Office Address:
   
Address: GSSS OSAW
Country: India State: Rajasthan
City/District: JHALAWAR Pin: 326036
Tel: Mobile no.: 9352082350
Fax: Email: yss916642@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: SIGMA SCHOOL OF EXCELLENCE School: PRIVET
City: JHALRAPATAN City: JHALAWAR
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: PRIVET
  Centre code:
  Pin: 326036
  Contact Nos: 09352082350
  Email: yss916642@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: GO TO A TOUR OF RANTHAMBORE
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BECAUSE I WANT TO EXPLORE THE WORLD WHICH IS SO BEAUTIFUL
Why do you wish to join TMI?: TNI HAS A GREAT TEAM OF EDUCATORS/TEACHERS AND ALSO A1 RATED INSTITUTE
What are your hobbies?: WHISTELING
What are your strengths?: I AM PLAYFUL AND LEARN THINGS EASILY
What are your weaknesses?: I GET ATTACHED EMOTIONALLY VERY SOON
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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 ________________