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


  Dossier ID: DNS2172709
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aman
Mother's Name: Dilshad Khatoon
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 May 2003 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: Aadhar card
Blood Group: B + Address for Communication: E-2/53 gali no-12B , 5 pusta Sonia vihar
State: Delhi Country: India
Pin: 110094 City/District: Delhi
Mobile no: 9582077386 Telephone No. with STD code: 09810808796
Aadhar Card No:367543873150 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Taj Ahmed Ansari Relationship with candidate: Father
Parents Date of Birth: 10 Jul 1971 Parent's/Guardian's Occupation/Designation: Engineer
Office Address:
Address: Friend colony Shahdara Shahdara delhi
Country: India State: Delhi
City/District: Shahdara Pin: 110032
Tel: Mobile no.: 9818795526
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: RPVV RAJ NIWAS MARG DELHI-54 School: Rajkiya Pratibha Vikas Vidyalaya
City: Delhi City: Delhi
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Centre code:
  Address of School/College: Raj niwas marg delhi-54
  Pin: 110054
  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
09/2019 National cadet corps State 1st
12/2019 Language learning School 2nd
01/2018 Delhi police easy writing competition Zonal First
How do you intend spending your time after completing class XII Final exams and before joining college ?: By learning some language and fitness skills and Entrance preparation
Why do you wish to join TMI?: My cousin is also in TMI batch DNS 20
What are your hobbies?: Cook a meal
What are your strengths?: I have the ability to see a situation from different perspectives and I can get my work done even in the face of difficult obstacles.
What are your weaknesses?: Nothing
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.