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: Vishal Gola
Mother's Name: Mamta Rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jul 2003 Nationality: Indian
Place of Birth: Noida Personal Identification Mark: A black mole on face
Blood Group: B + Address for Communication: Block - G , House No- 363, Sector- Alpha 2 , Greater Noida Greater Noida , Uttar Pradesh
State: Uttar Pradesh Country: India
Pin: 201310 City/District: Greater Noida
Mobile no: 9315660642 Telephone No. with STD code:
Aadhar Card No:264953636184 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Krishan Gopal Relationship with candidate: Father
Parents Date of Birth: 31 Mar 1975 Parent's/Guardian's Occupation/Designation: Civil engineer
Office Address:
Address: HOUSE NO-363, BLOCK-G,SECTOR-ALPHA-2,GN Alpha 2 , Greater Noida Greater Noida UP
Country: India State: Uttar Pradesh
City/District: GREATER NOIDA Pin: 201310
Tel: 9315660642 Mobile no.: 9315660642
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Bharat Ram Global school School: Bhara Ram Global School
City: Greater Noida City: GREATER NOIDA
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Centre code:
  Address of School/College: The plot, Street No-5, Near kaushalya residency , Knowledge Park -3 , Greater Noida, uttar pradesh, 201310
  Pin: 201310
  Contact Nos: 9315660642
  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:  
Vocational and Training Courses undertaken:
06/2020 English Communication 2 months
03/2021 English Communications Training 3 Months
04/2019 Ethical Hacking 1 Year
How do you intend spending your time after completing class XII Final exams and before joining college ?: Do advance Courses or Vocational Courses , some traning related to sports etc related some adding quality or value to life.
Why do you wish to join TMI?: Because of The TMI brand Name and its brand value and amazing placements.
What are your hobbies?: singing, Dancing, Spending, Travelling, Adventuring, Reading.
What are your strengths?: My Vision
What are your weaknesses?: Emotional
How do you intend to meet the expenses of this program?: Own Resources,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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