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


  Dossier ID: DNS2170808
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: RAJBHAR SHRIRAM LALBAHADUR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2001 Nationality: INDIAN
Place of Birth: PAYASI Personal Identification Mark: BLACK SPOT ON FOREHEAD
Blood Group: B + Address for Communication: Flat no.401 plot no.46 sec 11 S.M Paradise Taloja Phase 1 Navi Mumbai Near Elite public school
State: Maharashtra Country: India
Pin: 410208 City/District: Navi Mumbai
Mobile no: 9987526463 Telephone No. with STD code: 09987526463
Aadhar Card No:811436178674 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: LALBAHADUR RAJBHAR Relationship with candidate: FATHER
Parents Date of Birth: 15 Nov 1980 Parent's/Guardian's Occupation/Designation: TILES CONTRACTOR
Office Address:
Address: Flat no.401 plot no.46 sec 11 S.M Paradise Taloja Phase 1 Navi Mumbai Near Elite public school
Country: India State: Maharashtra
City/District: Navi Mumbai Pin: 410208
Tel: Mobile no.: 9820391064
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: The Elite Public School and Jr College School: Harmony Public School and Jr. College
City: Navi Mumbai City: Navi Mumbai
English %: 75 Board Roll No./Seat No.: M044458
Aggregate Percentage: 76 School/College Code: 27240806138
  Centre code: 2564
  Address of School/College: Plot no.6, Sector-36, Kharghar, Navi Mumbai 410210
  Pin: 410210
  Contact Nos:
  Aggregate Percentage: 67
Details of Marks Secured in (10+2) Examination -

Physics 100 59 59
Chemistry 100 55 55
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 60.67
English 100 70 70
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
02/09/2018 skit competition District Interact Assembly 1st
26/01/2014 Taekwondo State level Participate
16/01/2017 Kabaddi District 2nd
2010 Buddhist Kung Fu State level 1st
How do you intend spending your time after completing class XII Final exams and before joining college ?: By preparing on my communication skills, practicing of sponsorship test and interview. Maintaining Physical Health by exercising on daily bases as well as workout in GYM. Listening Books Podcast and etc. And also making myself better in volleyball, cricket, and football.
Why do you wish to join TMI?: Because TMI is a reputed institute and many companies come in TMI for providing sponsorship. And TMI have its own company therefore i wish to join Tolani Maritime Institute.
What are your hobbies?: I like to play every outdoor game specially team game e.g. cricket, football, volleyball and etc. because this type of game help me to be healthy and i get knowledge about how team works together.
What are your strengths?: I think i have exceptional teamwork skills as i am a team player i am also good in planning, time management and decision-making.
What are your weaknesses?: A little Communication skills but i am working on it daily and I have trouble saying no.
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan,Other - Relative help
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.