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


  Dossier ID: DNS2170110
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: mukesh u
Mother's Name: uh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Sep 2000 Nationality: Indian
Place of Birth: mumbai Personal Identification Mark: asdfsa
Blood Group: AB + Address for Communication: tmi asdf asdf
State: Meghalaya Country: India
Pin: 410507 City/District: asdfs
Mobile no: 9923078331 Telephone No. with STD code:
Aadhar Card No:123456789012 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: asdf Relationship with candidate: asdf
Parents Date of Birth: 22 Mar 1996 Parent's/Guardian's Occupation/Designation: asdf
Office Address:
Address: asdfsa asdfsa asdf
Country: India State: Maharashtra
City/District: asdfa Pin: 410507
Tel: Mobile no.: 1234567890
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Jharkand
School: asdfs School: asdfa
City: pune City: asdf
English %: 56 Board Roll No./Seat No.: 345353
Aggregate Percentage: 67 School/College Code: asdfa
  Centre code: 34555
  Address of School/College: asdfs
  Pin: 410507
  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: cet  
How do you intend spending your time after completing class XII Final exams and before joining college ?: asdfsad
Why do you wish to join TMI?: asdfs
What are your hobbies?: asdfs
What are your strengths?: asdfsa
What are your weaknesses?: asdfsa
How do you intend to meet the expenses of this program?: Other - asdfs
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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.