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


  Dossier ID: DNS2050255
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: manish kumar
Mother's Name: Renu devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Oct 2000 Nationality: Indian
Place of Birth: Saharsa Personal Identification Mark: A mole mark on nose
Blood Group: A + Address for Communication: bancholaha ps sourbazar vill- bancholaha ps-sourbazar dist-saharsa
State: Bihar Country: India
Pin: 852221 City/District: saharsa
Mobile no: 8789238712 Telephone No. with STD code: +918789238712
Aadhar Card No:724484619773 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Praful chanda suman Relationship with candidate: father
Parents Date of Birth: 25 Dec 1965 Parent's/Guardian's Occupation/Designation: farmer
Office Address:
Address: bhagwanpur ps sourbazar
Country: India State: Bihar
City/District: saharsa Pin: 852221
Tel: Mobile no.: 8678082809
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: zila school saharsa School: bs college saharsa
City: saharsa City: saharsa
English %: 60 Board Roll No./Seat No.: 241
Aggregate Percentage: 58 School/College Code: bs college saharsa
  Centre code: zila school
  Address of School/College: bancholaha ps sourbazar
  Pin: 852221
  Contact Nos: 8789238712
  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 ?: yessssssss
Why do you wish to join TMI?: yes
What are your hobbies?: runing
What are your strengths?: i am quick lerner and i am impressed any one at frist visit or frist meeting
What are your weaknesses?: i beleiv at any stranger its my weakness
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 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 ________________