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


  Dossier ID: DNS2173061
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Swaraj Prajapati
Mother's Name: Vimla Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Sep 2002 Nationality: Indian
Place of Birth: Gorakhpur Personal Identification Mark: Small til on right knee
Blood Group: B + Address for Communication: Ahirawli Sardar Nagar Gorakhpur
State: Uttar Pradesh Country: India
Pin: 273202 City/District: Gorakhpur
Mobile no: 6387853275 Telephone No. with STD code:
Aadhar Card No:675901533550 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Suryapal Prajapati Relationship with candidate: Father
Parents Date of Birth: 01 Mar 1974 Parent's/Guardian's Occupation/Designation: Auto Driver
Office Address:
Address: Ahirauli Sardar Nagar Gorakhpur
Country: India State: Uttar Pradesh
City/District: Gorakhpur Pin: 273202
Tel: Mobile no.: 6387853275
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: ST. Francis School School: RSM Senior Secondary School
City: Gorakhpur City: Gorakhpur
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: Infront of M.M.M.University of Technology Gorakhpur
  Pin: 273010
  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 ?: I will spend time in learning swimming and Preparing for my imucet exam
Why do you wish to join TMI?: Because TMI is the best collenge for maritime Courses with best placement record
What are your hobbies?: Playing cricket and reading books
What are your strengths?: Continuous learning and focused
What are your weaknesses?: No weakness
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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.