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


  Dossier ID: DNS2170803
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Naman Jain
Mother's Name: Kavita Jain
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Oct 2003 Nationality: Indian
Place of Birth: Dehe Personal Identification Mark: Mole on right feet
Blood Group: O + Address for Communication: I-148 Nehru colony Dharampur
State: Uttaranchal Country: India
Pin: 248001 City/District: Dehradun
Mobile no: 7453033304 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kavita Jain Relationship with candidate: Mother
Parents Date of Birth: 16 Nov 1979 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: G-193 Nehru colony Dehradun
Country: India State: Uttaranchal
City/District: Dehradun Pin: 248001
Tel: Mobile no.: 7579210255
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: Summer Valley School School: Summer Valley School
City: Dehradun City: Dehradun
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Centre code:
  Address of School/College: 18- Teg Bahadur Road Dalanwala Dehradun
  Pin: 248001
  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 ?: Learning new activities where I can skill well Preparing for CET and looking forward to clear exams
Why do you wish to join TMI?: I find this institute quite fascinating. Moreover TMI will help me follow my passion and help me become a better human being
What are your hobbies?: Reading
What are your strengths?: Fast learner
What are your weaknesses?: Temper issues
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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.