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: Parth Singh Chouhan
Mother's Name: Guddi Singh Chouhan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Feb 2002 Nationality: Indian
Place of Birth: Bhopal Personal Identification Mark: Mole on chin
Blood Group: O + Address for Communication: E-150 subhash colony ashoka garden C-115 block-j 25th battalion bhadbhada raod
State: Madhya Pradesh Country: India
Pin: 462023 City/District: Bhopal
Mobile no: 6266815193 Telephone No. with STD code: 0755
Aadhar Card No:868675335733 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vinod Singh Chouhan Relationship with candidate: Father
Parents Date of Birth: 24 Apr 1972 Parent's/Guardian's Occupation/Designation: Government servent
Office Address:
Address: E-150 subhash colony ashoka garden C-115 block -j 25th battalion bhadbhada road
Country: India State: Madhya Pradesh
City/District: Bhopal Pin: 462023
Tel: 0755 Mobile no.: 8982001126
Fax: 0755 Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Madhya Pradesh Board: Madhya Pradesh
School: Subhash excellence school School: Subhash excellence school
City: Bhopal City: Bhopal
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Centre code:
  Address of School/College: E-150 subhash colony ashoka garden C-115 block -j 25th battalion bhadbhada road
  Pin: 462023
  Contact Nos: 06266815193
  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 ?: By preparing for imucet and the sponsorship exam
Why do you wish to join TMI?: To secure my future in merchant navy as most of the popular company comes in this collage
What are your hobbies?: Swimming
What are your strengths?: Hardworking
What are your weaknesses?: My writing
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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