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


  Dossier ID: DNS2172079
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aryan Gupta
Mother's Name: Meena Gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Oct 2000 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: Mole at the right side of mouth
Blood Group: B + Address for Communication: Plot no.-23, Gopal Vihar, Barra-6, Kanpur Nagar
State: Uttar Pradesh Country: India
Pin: 208027 City/District: Kanpur Nagar
Mobile no: 9076734024 Telephone No. with STD code:
Aadhar Card No:446196101160 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Meena Gupta Relationship with candidate: Mother
Parents Date of Birth: 03 Apr 1975 Parent's/Guardian's Occupation/Designation: House wife
Office Address:
Address: Plot no.-23, Gopal Vihar, Barra-6, Kanpur Nagar
Country: India State: Uttar Pradesh
City/District: Kanpur Nagar Pin: 208027
Tel: Mobile no.: 9935301711
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Guru Nanak Public School School: Harmilap Mission School
City: Kanpur Nagar City: Kanpur Nagar
English %: 95 Board Roll No./Seat No.: 5695318
Aggregate Percentage: 92 School/College Code: 09192
  Centre code: 5219
  Address of School/College: Harmilap Mission School, Ratanlal Nagar, Kanpur
  Pin: 208022
  Contact Nos:
  Aggregate Percentage: 84
Details of Marks Secured in (10+2) Examination -

Physics 100 71 71
Chemistry 100 70 70
Mathematics 100 95 95
Physics, Chemistry & Mathematics combined Percentage: 78.67
English 100 95 95
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing the preparation of JEE.
Why do you wish to join TMI?: A reputed institution for the marine courses.
What are your hobbies?: Reading about the automotive and technology related news.
What are your strengths?: Looking forward attitude
What are your weaknesses?: Quite weak financially
How do you intend to meet the expenses of this program?: Bank Loan
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.