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: Manohar singh yadav
Mother's Name: mamta yadav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Sep 2004 Nationality: Indian
Place of Birth: jhansi Personal Identification Mark: mole on left hand
Blood Group: A + Address for Communication: A 216 greenwoods residency kowkoor, secundrabad
State: Other Country: India
Pin: 500010 City/District: hyderabad
Mobile no: 8427770522 Telephone No. with STD code: 040
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: devendra singh yadav Relationship with candidate: father
Parents Date of Birth: 26 May 1973 Parent's/Guardian's Occupation/Designation: ex-serviceman
Office Address:
Address: nil nil nil
Country: India State: Other
City/District: nil Pin: nil
Tel: Mobile no.: 8427770522
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: army public school bolarum School: army public school bolarum
City: hyderabad City: hyderabad
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Centre code:
  Address of School/College: jai jawahar nagar
  Pin: 500010
  Contact Nos: 08427770522
  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 ?: since it was lockdown so i spent my time on research og collages and marchant navy and evening in gym
Why do you wish to join TMI?:
What are your hobbies?: football , sailing
What are your strengths?: teamwork
What are your weaknesses?: lack of confident to talk
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 ________________

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