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


  Dossier ID: DNS2172674
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Dhirendra Kumar
Mother's Name: Usha Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Feb 2003 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: Mole below the lips right side
Blood Group: O + Address for Communication: East Indra Nagar, adarsh colony, near faujdar mandir ,road no -1, Lohianagar Subodh kumar Ray ,Rampur , Rampur Shamchand,Vaishali,Bihar -844508
State: Bihar Country: India
Pin: 800020 City/District: Patna
Mobile no: 7258867268 Telephone No. with STD code:
Aadhar Card No:462035180348 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Subodh Kumar Rai Relationship with candidate: Father
Parents Date of Birth: 20 Jan 1971 Parent's/Guardian's Occupation/Designation: Government employee
Office Address:
Address: East Indra Nagar, adarsh colony, near faujdar mandir ,road no -1, Lohianagar Rampur Shamchand, Vaishali, Bihar-844508
Country: India State: Bihar
City/District: Patna Pin: 800020
Tel: Mobile no.: 8084505499
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Oak grove school School: Gyansthali school
City: Mussoorie City: Gaya
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: Bhadeja,Manpur-Gaya road ,Gaya
  Pin: 823003
  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 ?: To learn advance sketching and calligraphy
Why do you wish to join TMI?: I want to join TMI as it is one of the best college in India or even Asia .I find myself suitable candidate for this field as i have lived away from my home since many years. I have developed the quality adaptation which is the key requirement for this field.
What are your hobbies?: Playing Badminton , Sketching and watching Anime
What are your strengths?: Dedication and continuous learning
What are your weaknesses?: Overthinking
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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.