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: Sapna
Mother's Name: Sunita devi
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Aug 2002 Nationality: Indian
Place of Birth: Charkhi dad Personal Identification Mark: Mole on right wrist
Blood Group: O + Address for Communication: VPO-Birhi kalan Teh-charkhi dadri District-bhiwani
State: Haryana Country: India
Pin: 127026 City/District: Bhiwani
Mobile no: 8684922610 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Satish kumar Relationship with candidate: Father
Parents Date of Birth: 05 May 1975 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Vpo Birhi kalan Teh-charkhi dadri... District- bhiwani Haryana
Country: India State: Haryana
City/District: Bhiwani Pin: 127026
Tel: Mobile no.: 8684922610
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Mnss rai School: Mnss rai
City: Sonipat City: Sonipat
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Mnss rai Sonipat Haryana
  Pin: 131029
  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 searching for my career options... By collecting information about my carrer...
Why do you wish to join TMI?: I wish to join TMI for better education and so that i get To learn from there...and i am interested in merchant Navy...and its a good option joining TMI
What are your hobbies?: Listening music and travelling
What are your strengths?: I am good at english.
What are your weaknesses?: I am afraid of water...till some extent.
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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