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


  Dossier ID: DNS2172155
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Amit Kumar Choudhary
Mother's Name: Santosh Devi Choudhary
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Nov 2002 Nationality: Indian
Place of Birth: Rajpura Personal Identification Mark: Birthmark on the right side of the neck
Blood Group: B - Address for Communication: Flat No I - 403 Samanvay Park, Near Ambe Mata Mandir Haria park, Silvassa Road, Vapi
State: Gujarat Country: India
Pin: 396191 City/District: Vapi
Mobile no: 9316277442 Telephone No. with STD code:
Aadhar Card No:717007582279 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Balbir Singh Choudhary Relationship with candidate: Father
Parents Date of Birth: 05 Jun 1973 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Kuroli Village Didwana Tehsil
Country: India State: Rajasthan
City/District: Nagaur Pin: 341318
Tel: Mobile no.: 9375718421
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Fellowship Mission School School: Lal Bahadur Shastri Sr Sec School
City: Vapi City: Kota
English %: 95 Board Roll No./Seat No.: 11618256
Aggregate Percentage: 95 School/College Code: 99999
  Centre code: 1097
  Address of School/College: IPD 09, RIICO Institutional Area, Ranpur, Kota
  Pin: 325003
  Contact Nos: 9828756262
  Aggregate Percentage: 75
Details of Marks Secured in (10+2) Examination -

Physics 100 75 75
Chemistry 100 89 89
Mathematics 100 65 65
Physics, Chemistry & Mathematics combined Percentage: 76.33
English 100 68 68
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
02/2016 Football State Third
10/2015 Football District First
08/2014 Quiz Interhouse First
01/2015 Skit Interhouse First
Vocational and Training Courses undertaken:
07/2011 Karate 3 years
04/2014 Swimming 3 months
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will prepare for IMUCET and company sponsorship exams . I will play football and read novels.
Why do you wish to join TMI?: It is the most reputed maritime institute in india.
What are your hobbies?: I have interest in reading novels. My hobbies include playing football, cricket and listening music.
What are your strengths?: I have good mental and physical endurance. I have curiosity to learn new things . I am good at time management.
What are your weaknesses?: I easily trust a person
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.