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


  Dossier ID: DNS2050194
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ashish Kumar
Mother's Name: Anita devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Mar 2002 Nationality: Indian
Place of Birth: Jawahi Personal Identification Mark: Cut mark on left palm
Blood Group: AB + Address for Communication: Bill.-Jawahi Post-Radhaur
State: Bihar Country: India
Pin: 843331 City/District: Sitamrhi
Mobile no: 7295039130 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Upendra thakur Relationship with candidate: Father
Parents Date of Birth: 04 Feb 1969 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Vill.-Jawahi Post-Radhaur
Country: India State: Bihar
City/District: Sitamrhi Pin: 843331
Tel: Mobile no.: 9631191899
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Bihar
School: K.v.jawahr nager School: Sri Nawab a.s. school sheohar
City: Sitamrhi City: Sheohar
English %: 70 Board Roll No./Seat No.: 19010023
Aggregate Percentage: 72 School/College Code: 36007
  Centre code: 36007
  Address of School/College: Sheohar
  Pin: 843329
  Contact Nos:
  Aggregate Percentage: 78
Details of Marks Secured in (10+2) Examination -

Physics 100 79 79
Chemistry 100 88 88
Mathematics 100 89 89
Physics, Chemistry & Mathematics combined Percentage: 85.33
English 100 66 66
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: STUDYING
Why do you wish to join TMI?: Because it is a most reputed company in Marchant navy
What are your hobbies?: Studying scientific fact
What are your strengths?: To complete my work in time
What are your weaknesses?: No
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 ________________