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


  Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ankit krishnakumar yadav
Mother's Name: Uma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jun 2002 Nationality: INDIAN
Place of Birth: Kalyan Personal Identification Mark: Mole in left eyebrow
Blood Group: A + Address for Communication: 203,shrushti apt, birlacollege road, near sahyadri Hospital bhoirwadi ,chikenghar
State: Maharashtra Country: India
Pin: 421301 City/District: Kalyan
Mobile no: 8928441315 Telephone No. with STD code: 8928441315
Aadhar Card No:769888949334 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: krishnakumar chotelal yadav Relationship with candidate: father
Parents Date of Birth: 30 Sep 1971 Parent's/Guardian's Occupation/Designation: merchant nvay
Office Address:
Address: 2nd floor ,MSC house Andheri Kurla road ,Andheri
Country: India State: Maharashtra
City/District: mumbai Pin: 400059
Tel: Mobile no.: 9892721019
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: lourdes hight school School: new english high school and jr. college
City: kalyan City: ulhasnagar
English %: 64 Board Roll No./Seat No.: M021531
Aggregate Percentage: 74 School/College Code: 4526
  Centre code: 1238
  Address of School/College: Kailash Colony, Ulhasnagar, Maharashtra
  Pin: 421005
  Contact Nos:
  Aggregate Percentage: 73
Details of Marks Secured in (10+2) Examination -

Physics 100 81 81
Chemistry 100 58 58
Mathematics 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 74
English 100 53 53
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: By moving after city, exploring the city and and seeing what to do next
Why do you wish to join TMI?: my father recommendation
What are your hobbies?: learing new things , some outdoor games
What are your strengths?: addtable to new envirnoment
What are your weaknesses?: it takes some time to understant the problems
How do you intend to meet the expenses of this program?: Own Resources
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 ________________

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