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


  Dossier ID: DNS2171129
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Yadav satyam Chandrasekhar
Mother's Name: Chandrakala
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Jun 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Black mole on face
Blood Group: O + Address for Communication: Room no 8 siacharan society Charkop village Kandivali west Mumbai
State: Maharashtra Country: India
Pin: 400067 City/District: Mumbai
Mobile no: 8591086066 Telephone No. with STD code:
Aadhar Card No:430067602627 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Chandrasekhar yadav Relationship with candidate: Father
Parents Date of Birth: 05 Apr 1981 Parent's/Guardian's Occupation/Designation: Milkman
Office Address:
Address: Room no 8 siacharan society Charkop village Kandivali west Mumbai
Country: India State: Maharashtra
City/District: Mumbai Pin: 400067
Tel: Mobile no.: 9082677511
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Oxford public school School: Mj junior college of science
City: Mumbai City: Mumbai
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: Room no 8 siacharan society Charkop village Kandivali west Mumbai
  Pin: 400067
  Contact Nos: 8591086033
  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 ?: Iam a fitness enthusiast so ill try going to gym and get a good physique
Why do you wish to join TMI?: I wish to join tolani because it provides good facilities to the students and also it has good academic records
What are your hobbies?: Outdoor sports and fitness
What are your strengths?: Physically hardworking , adaptibility , stress tolerance
What are your weaknesses?: Taking too much responsibility , being too detailed oriented
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 Class XII admit card 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.