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


  Dossier ID: DNS2173099
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ashutosh kumar singh
Mother's Name: Shusma rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jan 2000 Nationality: India
Place of Birth: Bettiah Personal Identification Mark: On the head cut in left side above the eyebwow
Blood Group: A + Address for Communication: Vill-harnahiya, post-sathi ,police station-sathi ,West champaran, bihar Vill-harnahiya, post-sathi ,police station-sathi ,West champaran, bihar
State: Bihar Country: India
Pin: 845449 City/District: Bettiah
Mobile no: 9934486355 Telephone No. with STD code: 9934486355
Aadhar Card No:469872549232 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Jata shankar singh Relationship with candidate: My father
Parents Date of Birth: 08 Mar 1973 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Vill-harnahiya, police station -sathi, post office -sathi,West champaran, bihar Bettiah, west champaran, bihar
Country: India State: Bihar
City/District: Bettiah Pin: 845449
Tel: 9934486355 Mobile no.: 9934486355
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: Utkramit m sch rajpur madan School: Mahant ramrup Goswami college
City: Bettiah City: Bettiah
English %: 42 Board Roll No./Seat No.: 20010116
Aggregate Percentage: 68 School/College Code: 35004
  Centre code: 203503767
  Address of School/College: Bettiah, west champaran, bihar
  Pin: 845438
  Contact Nos: 9934486355
  Aggregate Percentage: 67
Details of Marks Secured in (10+2) Examination -

Physics 100 68 68
Chemistry 100 65 65
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 68
English 100 93 93
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
04/4/2020 Cricket District As a captain
03/3/20 Cricket District As a captain
05/012018 Cricket District As a batsmen
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spend my time in studying and later in internet services. I I think that is enough Now a days searching shipping company details
Why do you wish to join TMI?: Tolani Maritime Academy Come forward today as one of the best academies. There are many facilities for DNS and BSC is the best institute for nautical science and marine engineering.
What are your hobbies?: My hobby is listing music and reading noval and now a days watching web series. As per as sports related my favorite cricket and swimming.
What are your strengths?: I am hard working person. I am punctual and loyalty towards my work.
What are your weaknesses?: I cannot say no if anyone ask me for help. I think that is my weakness.
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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.