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


  Dossier ID: DNS2173072
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ujjwal Singh
Mother's Name: Mini singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Jul 2003 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: Right top head
Blood Group: B + Address for Communication: Rajeev nagar road no 9 C, house no 14 Patna, 800024.Bihar Patna, Bihar
State: Bihar Country: India
Pin: 800024 City/District: Patna
Mobile no: 7050217922 Telephone No. with STD code: 09504580566
Aadhar Card No:545660453252 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mini singh Relationship with candidate: Mother
Parents Date of Birth: 01 Feb 1996 Parent's/Guardian's Occupation/Designation: House wife
Office Address:
Address: Rajeev nagar Road no 9C, house no 14 Patna, Bihar
Country: India State: Bihar
City/District: Patna Pin: 800024
Tel: 09504580566 Mobile no.: 7050217922
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Other Board: Other
School: Don Bosco Academy School: May flower
City: Patna City: Patna
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Centre code:
  Address of School/College: Digha, near Don Bosco academy
  Pin: 800024
  Contact Nos: 09504580566
  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 join the gym, and will focus on my personality, because in merchant navy personality is very much essential thing. I will work on my communication skill
Why do you wish to join TMI?: Huge campus with very good facilities. Provides almost hundred percent placement to all the cadets
What are your hobbies?: To play outdoor games, like cricket, football
What are your strengths?: I am enthusiastic person. Whatever work I do, perform it with very much dedication
What are your weaknesses?: I tend to overly critical of myself. I am incredible introverted, which makes me wary of sharing my ideas in a group setting or speaking up during team meetings
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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