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: Varun Saxena
Mother's Name: Seema Saxena
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Oct 2003 Nationality: Indian
Place of Birth: New Delhi Personal Identification Mark: birthmark
Blood Group: O + Address for Communication: C-178 Pushpanjali Enclave pitampura new dwlhi 110034
State: Delhi Country: India
Pin: 110034 City/District: DELHI
Mobile no: 9667653192 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Alok Saxena Relationship with candidate: Father
Parents Date of Birth: 30 Nov 1969 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: C-178 Pushpanjali Enclave 2nd floor pitampura
Country: India State: Delhi
City/District: DELHI Pin: 110034
Tel: Mobile no.: 9810100472
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Lancers Convent School: lancer convent
City: New Delhi City: New Delhi
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: Lancer Convent Prashant vihar New Delhi
  Pin: 110085
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
12/2018 movie making competition interhouse none
11/2019 short film against cyberbullying interschool none
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will work on my physical fitness and improve my strength and stamina , I will also work upon my communication skills and also work on my hobbies.
Why do you wish to join TMI?: I find Tolani Maritime Institute the best for DNS
What are your hobbies?: my hobbies in sports are playing badminton and swimming, otherwise i like to to video editing, film making and 3d animation.
What are your strengths?: my strengths are my parents , my dedication towards work and able to communicate better with people.
What are your weaknesses?: my weaknesses are I can get distracted, creativity and emotional.
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 ________________

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