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


  Dossier ID: DNS2173774
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Parth waman Chudji
Mother's Name: Sayali
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jun 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: No mark
Blood Group: B + Address for Communication: E/21 Flat no.6 Suryodaya Co-Op Housing Society sector-48 Seawoods NaviMumbai OPP to navratna hotel
State: Maharashtra Country: India
Pin: 400706 City/District: Thane
Mobile no: 9867105831 Telephone No. with STD code:
Aadhar Card No:980255846493 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: waman Anant Chudji Relationship with candidate: Father
Parents Date of Birth: 21 Jan 1996 Parent's/Guardian's Occupation/Designation: Self employed
Office Address:
Address: E/21 Flat no.6 Suryodaya Co-Op Housing Society sector-48 Seawoods NaviMumbai OPP to navratna hotel
Country: India State: Maharashtra
City/District: Thane Pin: 400706
Tel: Mobile no.: 9833225318
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Dav public school School: St. Joseph
City: Thane City: Raigad
English %: 74 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Centre code:
  Address of School/College: Plot No 3, Sector 4, Kalamboli, Panvel, Navi Mumbai, Maharashtra
  Pin: 410218
  Contact Nos: 02227422127
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics, Chemistry & Mathematics combined Percentage:
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to spend more time on weaknesses, I will join various sports like football to be fit, I will also join gym.
Why do you wish to join TMI?: Hhshsjewj
What are your hobbies?: Football, travel
What are your strengths?: Leadership skills, problem solving, organised
What are your weaknesses?: As such no weaknesses
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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.