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


  Dossier ID: DNS2049752
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Kuljinder Singh
Mother's Name: Veerpal Kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2002 Nationality: INDIAN
Place of Birth: Bathinda Personal Identification Mark: Cut mark on lower left arm
Blood Group: A + Address for Communication: SAS Nagar ST NO.26 MCB Z6 00446 Bathinda
State: Punjab Country: India
Pin: 151001 City/District: Bathinda
Mobile no: 6284304606 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Veerpal Kaur Relationship with candidate: Mother
Parents Date of Birth: 15 Mar 1981 Parent's/Guardian's Occupation/Designation: ICDS worker
Office Address:
Address: MCB Z6 07522 Pratap Nagar , Bathinda
Country: India State: Punjab
City/District: Bathinda Pin: 151001
Tel: Mobile no.: 9463790616
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Punjab Board: Punjab
School: SANAWAR An Institute For Childern School: B.G.S.B.U.S Senior Secondary School
City: Bthinda City: TARNTARAN
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: VPO Khadur Sahib ,Tarntaran
  Pin: 146117
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 75
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
11/2016 Boxing State 5th
08/2016 Boxing District 1st
08/2017 Boxing District 2nd
How do you intend spending your time after completing class XII Final exams and before joining college ?: Looking For Different carrier options.
Why do you wish to join TMI?: As I wish to join Merchant Navy I found TMI best in terms of Education Infrastructure Placement and many more reason are there moreover its Fee structure sutes me and family income .
What are your hobbies?: Book Reading , Cycling
What are your strengths?: Physique, Determination, Harworking
What are your weaknesses?: solving puzzles , overconfidence
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 not uploaded Class XII marksheet not uploaded

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

Signature of Candidate



Date ________________