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: Satyam Singh
Mother's Name: Anju Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Mar 2003 Nationality: Indian
Place of Birth: Rewa Personal Identification Mark: Yes
Blood Group: B + Address for Communication: Shivnagar, Rewa Rewa Hinauti
State: Madhya Pradesh Country: India
Pin: 486001 City/District: Rewa
Mobile no: 8269041156 Telephone No. with STD code:
Aadhar Card No:513917199024 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Anju Singh Relationship with candidate: Son
Parents Date of Birth: 04 Jun 1984 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Shivnagar, Rewa Rewa Hinauti
Country: India State: Madhya Pradesh
City/District: Rewa Pin: 486001
Tel: Mobile no.: 7067952534
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Madhya Pradesh Board: Madhya Pradesh
School: Model higher secondary school School: Model higher secondary school
City: Rewa City: Rewa
English %: 85 Board Roll No./Seat No.: 203226909
Aggregate Percentage: 82 School/College Code: 321096
  Centre code: 321007
  Address of School/College: Rewa
  Pin: 486001
  Contact Nos: 8269041156
  Aggregate Percentage: 63
Details of Marks Secured in (10+2) Examination -

Physics 100 51 51
Chemistry 100 76 76
Mathematics 100 50 50
Physics, Chemistry & Mathematics combined Percentage: 59
English 100 65 65
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to take full knowledge of the merchant navy, and will make full preparations for joining TMI college.
Why do you wish to join TMI?: TMI is the best college for merchant navy and I love TMI facilities .
What are your hobbies?: Gaming .
What are your strengths?: My confidence , and performance .
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 ________________

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