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


  Dossier ID: DNS2174333
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Pavendra Singh Rajput
Mother's Name: Chanda rajput
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Oct 2003 Nationality: Indian
Place of Birth: Mau- padana Personal Identification Mark: Cut on my Pinky finger of right hand
Blood Group: O + Address for Communication: Mau - padana Near sahrangpur M.P
State: Madhya Pradesh Country: India
Pin: 465674 City/District: Rajgarh
Mobile no: 9575029550 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ajay Singh Rajput Relationship with candidate: Father And Sun
Parents Date of Birth: 23 Oct 1980 Parent's/Guardian's Occupation/Designation: Govt Teacher
Office Address:
Address: Village Mau Post Mau Tehsil Sarangpur Dist Rajgarh
Country: India State: Madhya Pradesh
City/District: Rajgarh Pin: 465697
Tel: Mobile no.: 9575117389
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Madhya Pradesh Board: Madhya Pradesh
School: Jyoti Convent Senior Secondary School Biaora School: Manas Higher Secondary School Biaora
City: Biaora Rajgarh City: Biaora Rajgarh
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: Biaora Dist Rajgarh MP
  Pin: 465674
  Contact Nos:
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Books Reading and Playing Sports
Why do you wish to join TMI?: Because TMI is Well known Institute Of India
What are your hobbies?: Music , cricket, chess
What are your strengths?: Never Give up altitude and self believe
What are your weaknesses?: Public speaking
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.