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: Anardeep kumar
Mother's Name: Munni devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Sep 2002 Nationality: INDIAN
Place of Birth: gaya Personal Identification Mark: a cut mark on lower jaw
Blood Group: O + Address for Communication: Rang bahadur road telbigha Near malti nurshimg home Gaya
State: Bihar Country: India
Pin: 823002 City/District: gaya
Mobile no: 9693824467 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ajay kumar gupta Relationship with candidate: Father
Parents Date of Birth: 16 Jan 1975 Parent's/Guardian's Occupation/Designation: business
Office Address:
Address: Rang bahadur road telbigha Near malti nurshimg home Gaya
Country: India State: Bihar
City/District: gaya Pin: 823002
Tel: Mobile no.: 7004665564
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: sainik school kazhakootam School: sainik school kazhakootam
City: trivandrum City: trivandrum
English %: 69 Board Roll No./Seat No.: 24604792
Aggregate Percentage: 71 School/College Code: 79002
  Centre code: 7523
  Address of School/College: sainik school kazhakootam ,trivandrem kerala
  Pin: 695585
  Contact Nos:
  Aggregate Percentage: 5
Details of Marks Secured in (10+2) Examination -

Physics 100 69 69
Chemistry 100 62 62
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 62.67
English 100 89 89
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: exploring new things . gaining knowledge etc.,
Why do you wish to join TMI?: to build a very good carrier .
What are your hobbies?: reading and playing.
What are your strengths?: leadership , always positive
What are your weaknesses?: i feel no weaknesses in me.
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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