Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
(New Admission Diploma in Nautical Science )


  Dossier ID: DNS2049505
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: muesk
Mother's Name: us
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Aug 1998 Nationality: Indian
Place of Birth: mumbai Personal Identification Mark: nil
Blood Group: AB + Address for Communication: asd asd asdf
State: Madhya Pradesh Country: India
Pin: 400083 City/District: mumbai
Mobile no: 1234567890 Telephone No. with STD code: 989849589
Aadhar Card No:123412341234 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: asdfsf Relationship with candidate: asdf
Parents Date of Birth: 15 Feb 1995 Parent's/Guardian's Occupation/Designation: asdfsaf
Office Address:
Address: asdfsaf asdfasfd asdfsafd
Country: India State: Manipur
City/District: mumbai Pin: 400092
Tel: Mobile no.: 9860572154
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: Meghalaya Board: ManiPuri
School: asdfasd School: asdfsa
City: adsfads City: asdfdsa
English %: 50 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Centre code:
  Address of School/College: asdfdsafsa
  Pin: 500083
  Contact Nos: 23453
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number: cet20  
How do you intend spending your time after completing class XII Final exams and before joining college ?: asdfsaf
Why do you wish to join TMI?: asdfasf
What are your hobbies?: asdfasfd
What are your strengths?: asdfasfs
What are your weaknesses?: asdfsadf
How do you intend to meet the expenses of this program?: 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 not uploaded

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

Signature of Candidate



Date ________________