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


  Dossier ID: DNS2173651
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Patil Ayush Chandrakant
Mother's Name: Vidya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 May 2003 Nationality: India
Place of Birth: Bhiwandi Personal Identification Mark: A small black spot on left foot little finger
Blood Group: A + Address for Communication: 301, Aashakiran apartment kharegaon pakhadi kalwa thane 301 Aashakiran apartment kharegaon pakhadi kalwa thane
State: Maharashtra Country: India
Pin: 400605 City/District: Thane
Mobile no: 9136521921 Telephone No. with STD code:
Aadhar Card No:918267183127 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Chandrakant Pandurang patil Relationship with candidate: Father
Parents Date of Birth: 22 Apr 1963 Parent's/Guardian's Occupation/Designation: Government service officer
Office Address:
Address: Panchayat Samiti pen opposite government polytechnic college R P nagar ramwadi pen Panchayat Samiti Pen opposite government polytechnic college R P nagar ramwadi pen
Country: India State: Maharashtra
City/District: Raigad Pin: 402107
Tel: Mobile no.: 8888150555
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Saraswati vidhyala and jr college of science rabodi thane School: MH high school and jr college of science thane
City: Thane City: Thane
English %: 76 Board Roll No./Seat No.: M000847
Aggregate Percentage: 88 School/College Code: 20116911121
  Centre code: 1001
  Address of School/College: Opposite to thane railway station
  Pin: 400605
  Contact Nos: 02225332373
  Aggregate Percentage: 69
Details of Marks Secured in (10+2) Examination -

Physics 100 63 63
Chemistry 100 50 50
Mathematics 100 82 82
Physics, Chemistry & Mathematics combined Percentage: 65
English 100 73 73
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing cricket and football
Why do you wish to join TMI?: I wish to join tmi as it is one of the best institute in India for cadet ship with good placement records.
What are your hobbies?: Playing indoor and outdoor games
What are your strengths?: Determination,teamwork,hardworking
What are your weaknesses?: Lack of confidence
How do you intend to meet the expenses of this program?: Own Resources
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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