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: Md Saif
Mother's Name: Reshma Khatoon
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Aug 2002 Nationality: Indian
Place of Birth: Dhanbad Personal Identification Mark: Two moles on the bottom left side of the nose
Blood Group: A + Address for Communication: 343E, madarsa mohalla Station road chandrapura
State: Jharkhand Country: India
Pin: 828403 City/District: Bokaro
Mobile no: 7808162117 Telephone No. with STD code:
Aadhar Card No:363505300701 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Md Aquil Relationship with candidate: Father
Parents Date of Birth: 20 Jun 1968 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: 343E, madarsa mohalla station road chandrapura, bokaro
Country: India State: Jharkhand
City/District: Bokaro Pin: 828403
Tel: Mobile no.: 7808162117
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya ctps chandrapura School: Kendriya Vidyalaya ctps chandrapura
City: Chandrapura City: Chandrapura
English %: 84 Board Roll No./Seat No.: 22684442
Aggregate Percentage: 81 School/College Code: 69504
  Centre code: 6756
  Address of School/College: Ctps ,chandrapura
  Pin: 828403
  Contact Nos: 6549242259
  Aggregate Percentage: 82
Details of Marks Secured in (10+2) Examination -

Physics 100 82 82
Chemistry 100 78 78
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 74.67
English 100 95 95
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
01/2020 Basketball School level 3rd
01/2020 Athlete School level 1st
08/2015 Basketball Regional level 1st
09/2020 NATA All India level 87
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for IMU CET
Why do you wish to join TMI?: I wished to join merchant navy and only TMI can give me this opportunity. Quality education provided here. at present this is the best Maritime academy in India with the maximum training, knowledge and placement percentage.
What are your hobbies?: Watching cricket
What are your strengths?: I am honest, I complete work on time.i easily adapt to any environment
What are your weaknesses?: Overthinking
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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