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


  Dossier ID: DNS2049578
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aftab ahmed
Mother's Name: Gulishta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2003 Nationality: Indian
Place of Birth: Ambala cant Personal Identification Mark: Cut on right eye
Blood Group: B + Address for Communication: Haryana Ambala cantt House no.three ram Krishan colony
State: Haryana Country: India
Pin: 133001 City/District: Ambala cantt
Mobile no: 9812766126 Telephone No. with STD code:
Aadhar Card No:651829587503 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Naseem ahmad Relationship with candidate: Father of candidate
Parents Date of Birth: 11 Nov 1983 Parent's/Guardian's Occupation/Designation: Labour
Office Address:
Address: Haryana Ambala cantt House no 3ram Krishan colony
Country: India State: Haryana
City/District: Ambala cantt Pin: 133001
Tel: Mobile no.: 7015089247
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Haryana Board: Haryana
School: Jain girls sen. School: Jain girls sen
City: Ambala cantt City: Ambala cantt
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: Rai market ambala cantt
  Pin: 133001
  Contact Nos:
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will go to coaching for imu cet
Why do you wish to join TMI?: My guardian advised me for tolani
What are your hobbies?: Boxing
What are your strengths?: Chemistry
What are your weaknesses?: Maths
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 not uploaded

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

Signature of Candidate



Date ________________