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: Krishndev Kumar saw
Mother's Name: Dulari devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2001 Nationality: Indian
Place of Birth: Telodih Personal Identification Mark: A mole on the nose
Blood Group: B + Address for Communication: At Telodih post padariya PS markacho Dist koderma At Telodih post padariya PS markacho Dist koderma
State: Jharkhand Country: India
Pin: 825318 City/District: Koderma
Mobile no: 6291818673 Telephone No. with STD code:
Aadhar Card No:244507869456 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: yugal Kishor Prasad Relationship with candidate: Son
Parents Date of Birth: 01 Jan 1979 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: At Telodih post padariya PS markacho koderma jharkhand City Jhumritealaiya City ll -Hazaribag Ranchi
Country: India State: Jharkhand
City/District: koderma Pin: 825318
Tel: Mobile no.: 6291818673
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Jharkand Board: Jharkand
School: Upgraded high school yogidih School: RLSY college jhumritealaiya
City: Jhumritealaiya City: Jhumritealaiya
English %: 83 Board Roll No./Seat No.: 10074
Aggregate Percentage: 84 School/College Code: 26007
  Centre code: 245
  Address of School/College: Jhulpo RLSY college road jhumritealaiya
  Pin: 825318
  Contact Nos: 6291818673
  Aggregate Percentage: 68
Details of Marks Secured in (10+2) Examination -

Physics 100 70 70
Chemistry 100 71 71
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 67
English 100 63 63
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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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