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 2021)


Application Summary:
 
Course Enrolled (First Choice): B.Sc. Nautical Science Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG7067988 Name: Sumit Yadav
  Address: Near Maa Sidhavi School Pragati Nagar Kol Baazbahadur Azamgarh U.P
Telephone No.: Mobile no: 9451401279
E-mail: sumityadav101013@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 408494920
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7067988 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
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: DEG7067988
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sumit Yadav
Mother's Name: Kokila Yadav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Jul 2002 Nationality: Indian
Place of Birth: Azamgarh Personal Identification Mark: A mole behind left ear
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 05 Jul 2002 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: Near Maa Sidhavi School Pragati Nagar Kol Baazbahadur Azamgarh U.P
State: Uttar Pradesh Country: India
Pin: 276001 City/District: Azamgarh
Mobile no: 9451401279 Telephone No. with STD code:
Aadhar Card No:224201839832 E-mail: sumityadav101013@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Akhilesh Yadav Relationship with candidate: Father
Parents Date of Birth: 02 Feb 1979 Parent's/Guardian's Occupation/Designation: Merchent Navy
   
Office Address:
   
Address: Near Maa Sidhavi School Pragati Nagar Kol Baazbahadur Azamgarh U.P
Country: India State: Uttar Pradesh
City/District: Azamgarh Pin: 276001
Tel: Mobile no.: 9451401279
Fax: Email: sumityadav101013@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: Uttar Pradesh
School: Children College School: Sri Ram Karan Inter College
City: Azamgarh City: Mau
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 59 School/College Code:
  Address of School/College: Fatehpur Abbupur Mau
  Centre code:
  Pin: 276402
  Contact Nos:
  Email: sumityadav101013@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 ?: Preparation for TMI-SAT
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It will help me to achieve my dream Job
Why do you wish to join TMI?: Because of its good placement
What are your hobbies?: Playing Cricket, Listening Songs
What are your strengths?: Self Motivated, Hardworking
What are your weaknesses?: Too detail Oriented
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 ________________

 
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