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


  Dossier ID: DNS2170919
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sachin
Mother's Name: Ranjana Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Sep 2001 Nationality: Indian
Place of Birth: Muzaffarpur Personal Identification Mark: No
Blood Group: A + Address for Communication: House no. 420 , st no. 6 People cholk , Sangam Vihar , New Delhi , 110062
State: Delhi Country: India
Pin: 110062 City/District: South Delhi
Mobile no: 8882352809 Telephone No. with STD code:
Aadhar Card No:437686629660 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kamindar Tiwari Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Self employed
Office Address:
Address: House no. 420 , st no. 6 People chouk , Sangam Vihar, New Delhi
Country: India State: Delhi
City/District: South Delhi Pin: 110062
Tel: Mobile no.: 8882352809
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: NIOS Board: CBSE
School: National institute of open schooling School: Patrachar vidyalaya
City: New Delhi City: New Delhi
English %: 49 Board Roll No./Seat No.:
Aggregate Percentage: 52 School/College Code:
  Centre code:
  Address of School/College: B- l block shali mar mab new delhi
  Pin: 110062
  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 ?: By doing Physical exercise and sports activities to keep my body physically and mentally fit.
Why do you wish to join TMI?: Tmi is the best college for Maritime Training and hostle facilities are very good.
What are your hobbies?: Cycling
What are your strengths?: Always positive at any situation
What are your weaknesses?: I trust people very easily sometimes it hurts me.
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 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 ________________