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 2020)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049700 Name: Pawan Kumar Yadav
  Address: Saraswati Nagar, Near bus stand Bara Ghazipur
Telephone No.: Mobile no: 7388232792
E-mail: kpawangzp1999@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: 304263282
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049700 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please ensure that you send the following documents with your application.
  1. Write Application for Diploma in Nautical Science, Dossier ID on the envelope
  2. Print the application form duly filled
  3. Print the application summary duly signed where indicated
  4. Three identical recent passport size photographs with name & dossier id written at the back
  5. Self – attested copies of Class X marksheet and Pass Certificate
  6. Self – attested copies of Class XII marksheet and Pass Certificate (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  7. Self – attested copies of class XII marksheet downloaded from internet (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  8. Self – attested copies of school leaving certificate / transfer certificate (for proof of age)
  9. Self – attested copy of birth certificate (for proof of age and place of birth)
  10. Copies of sports and extra-curricular activities (Class VIII and above only)
  11. Copy of Class XII board exam admit card for those appearing in 2020
  12. A non-refundable Demand Draft of Rs. 200/- favouring “Tolani Maritime Institute” payable at Pune. Write your name, dossier id and contact details on the reverse of the Demand Draft (Kindly ignore if you have paid online)
  13. Please keep a copy of the form for your reference for communicating with the Institute

Send Duly filled application forms to:

Admissions Cell (DNS)
Tolani Maritime Institute
Talegaon-Chakan road, Induri,
Talegaon, Pune, Pin- 410507
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 - 2020

 
  Dossier ID: DNS2049700
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Pawan Kumar Yadav
Mother's Name: Seema Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Sep 1999 Nationality: Indian
Place of Birth: Bara Personal Identification Mark: Back head two cm scar
Blood Group: O + Address for Communication: Saraswati Nagar, Near bus stand Bara Ghazipur
State: Uttar Pradesh Country: India
Pin: 232325 City/District: Ghazipur
Mobile no: 7388232792 Telephone No. with STD code:
Aadhar Card No:787619477387 E-mail: kpawangzp1999@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Singh Yadav Relationship with candidate: Father
Parents Date of Birth: 12 Feb 1975 Parent's/Guardian's Occupation/Designation: Ex-servicemen
   
Office Address:
   
Address: Saraswati Nagar, Near bus stand Bara Ghazipur
Country: India State: Uttar Pradesh
City/District: Ghazipur Pin: 232325
Tel: Mobile no.: 8638042262
Fax: Email: kpawangzp1999@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Crescent Convent School School: APS RANCHI
City: Dildar Nagar Ghazipur City: RANCHI
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: Dipatoli Cantt, Ranchi
  Pin: 834001
  Contact Nos:
  Email: asr8208@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 ?: Working on our personality
Why do you wish to join TMI?: Best maratine institute
What are your hobbies?: sport and gyming
What are your strengths?: Confidante
What are your weaknesses?: Gullible
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 Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form