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


  Dossier ID: DNS2174493
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aniruddh Gupta
Mother's Name: Rekha Rani Gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 May 2003 Nationality: India
Place of Birth: Agra Personal Identification Mark: birth marks on both the chicks
Blood Group: AB + Address for Communication: f 26 Mohani sagar colony
State: Madhya Pradesh Country: India
Pin: 473551 City/District: shivpuri
Mobile no: 9479696068 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rekha Gupta Relationship with candidate: Mother
Parents Date of Birth: 07 Dec 1972 Parent's/Guardian's Occupation/Designation: government Job
Office Address:
Address: mohni sagar colony F 26
Country: India State: Madhya Pradesh
City/District: shivpuri Pin: 473551
Tel: 9479696068 Mobile no.: 9479696068
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Madhya Pradesh
School: Happy Days School School: Eastern Heights Public School
City: shivpuri City: shivpuri
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 61 School/College Code:
  Centre code:
  Address of School/College: Eastern Heights Publics school narore chauk shivpuri
  Pin: 473551
  Contact Nos: 9479696068
  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 ?: the time i spend before joining any collage is that learn about more and more toward your career via internet or find out the best collage regarding to your courses and built more hobbies .
Why do you wish to join TMI?: one of the top ranked collage in merchant navy field
What are your hobbies?: playing Badminton, cycling rally, cooking, participating in social activities
What are your strengths?: i Dont hesitate to try or explore new thinks
What are your weaknesses?: get scared of failure
How do you intend to meet the expenses of this program?: 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 ________________

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