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: DNS2049833 Name: YUVRAJ SINGH SHEKHAWAT
  Address: HOUSE NO 96 SECTOR 6 VIDHYADHAR NAGAR
Telephone No.: Mobile no: 9511587462
E-mail: yuvishekhawat25@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: 304613905
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049833 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: DNS2049833
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: YUVRAJ SINGH SHEKHAWAT
Mother's Name: PUSHPA SHEKHAWAT
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Sep 2002 Nationality: INDIAN
Place of Birth: JAIPUR Personal Identification Mark: CUT MARK NEAR LIP
Blood Group: B + Address for Communication: HOUSE NO 96 SECTOR 6 VIDHYADHAR NAGAR
State: Rajasthan Country: India
Pin: 302039 City/District: JAIPUR
Mobile no: 9511587462 Telephone No. with STD code:
Aadhar Card No:466953626276 E-mail: yuvishekhawat25@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JAIDEEP SINGH SHEKHAWAT Relationship with candidate: FATHER
Parents Date of Birth: 12 Nov 1975 Parent's/Guardian's Occupation/Designation: BUSSINESS
   
Office Address:
   
Address: HOUSE NO 96 SECTOR 6 VIDHYADHAR NAGAR
Country: India State: Rajasthan
City/District: JAIPUR Pin: 302039
Tel: Mobile no.: 9785293639
Fax: Email: jaideepshekhawat@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: KENDRIYA VIDALAYA School: KENDRIYA VIDALAYA
City: JAIPUR City: JAIPUR
English %: 95 Board Roll No./Seat No.: 1638208
Aggregate Percentage: 95 School/College Code: 0313
  Centre code: 0155
  Address of School/College: JHOTWARA , ARMY CANTT
  Pin: 302012
  Contact Nos:
  Email: KV2JAIPUR@GMAIL.COM
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 75 75
Chemistry 100 78 78
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 72
English 100 85 85
   
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
08/2014 TAEKWONDO STATE 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: BY WORKING ON GK PORTION AND GENERAL ABILITY
Why do you wish to join TMI?: BECAUSE TMI IS LARGEST MARITIME INSTITUTE WHICH OFFERS VARIOUS DEGREE PROGRAMS
What are your hobbies?: PLAYING CRICKET
What are your strengths?: FAMILY
What are your weaknesses?: BARGANING
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

___________________

Date ________________

 
Print Summary and Application Form