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


  Dossier ID: DNS2172072
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: RISHI RAJ
Mother's Name: Sanju rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Feb 2004 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: Cut on left eyebrow
Blood Group: B + Address for Communication: Ashok nagar road no 8/c near ramdev mandir kankarbagh patna-20 Ghana colony road no 7 ramkrishna nagar patna-27
State: Bihar Country: India
Pin: 800020 City/District: Patna
Mobile no: 9931687152 Telephone No. with STD code: 0612
Aadhar Card No:482047020078 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shashi Bhushan singh Relationship with candidate: Son
Parents Date of Birth: 01 Jan 1979 Parent's/Guardian's Occupation/Designation: Farming
Office Address:
Address: Barahiya Barahiya
Country: India State: Bihar
City/District: Patna Pin: 800020
Tel: 0612 Mobile no.: 8789200373
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Bishop Scott Boys School School: Holy mission senior secondary school
City: Patna City: Patna
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Centre code:
  Address of School/College: Lohia nagar road , Kankarbagh colony more patna-20
  Pin: 800020
  Contact Nos: 7947143843
  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 ?: I will study some books and i will play kabaddi and cricket
Why do you wish to join TMI?: I want to join tmi for good placement
What are your hobbies?: Playing kabaddi and cricket
What are your strengths?: Leadership, communication
What are your weaknesses?: Public speaking
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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.