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


  Dossier ID: DNS2175372
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Rudra Yadav
Mother's Name: Neelam Yadav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Apr 2003 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Mole
Blood Group: B + Address for Communication: 569/k/138 Sneh Nagar Alambagh Lucknow Near darshan acedamy
State: Uttar Pradesh Country: India
Pin: 226005 City/District: Lucknow
Mobile no: 6393276396 Telephone No. with STD code:
Aadhar Card No:866347968884 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Neelam Yadav Relationship with candidate: Mother
Parents Date of Birth: 12 Jan 1996 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: 569/k/138 Sneh Nagar Alambagh Lucknow Near darshan acedamy
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226005
Tel: Mobile no.: 6393276396
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: New Public Inter College School: New Public Inter College
City: Lucknow City: Lucknow
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: 569/k/138 Sneh Nagar Alambagh Lucknow Near darshan acedamy
  Pin: 226005
  Contact Nos: 06393276396
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
12/2019 5KM Race moderate 2nd
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will join Gym to maintain my physique Focus on couses of Merchant Navy Prepare myself mentally and physically before joining college
Why do you wish to join TMI?: I wish to join Tolani maritime institute because it is one of the best maritime college in india
What are your hobbies?: Computer programming , Running, Cycling
What are your strengths?: Honesty , Dedication, Continuous learning, self control
What are your weaknesses?: Extremely introverted
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.