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


  Dossier ID: DNS2175434
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Abhay Tailor
Mother's Name: Sampati Tailor
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 May 2002 Nationality: Indian
Place of Birth: Dundlod Personal Identification Mark: Mole on left hand
Blood Group: AB + Address for Communication: WARD NO-19,Dundlod near shiv beverage industry,333702 Villege Dundlod Nawalgarh
State: Rajasthan Country: India
Pin: 333702 City/District: JHUNJHUNU
Mobile no: 7877579161 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: SAMPATI TAILOR Relationship with candidate: Mother
Parents Date of Birth: 28 Aug 1967 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: WARD NO-19,Dundlod near shiv beverage industry,333702 Village Dundlod ,Nawalgarh
Country: India State: Rajasthan
City/District: Jhunjhunu Pin: 333702
Tel: Mobile no.: 7877579161
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Dundlod Vidyapeeth Dundlod School: Dundlod Vidyapeeth Dundlod
City: Nawalgarh City: Dundlod
English %: 90 Board Roll No./Seat No.: 11656421
Aggregate Percentage: 83 School/College Code: 10550
  Centre code: 1313
  Address of School/College: DVP near goenka hospital 333702
  Pin: 333702
  Contact Nos:
  Aggregate Percentage: 86
Details of Marks Secured in (10+2) Examination -

Physics 100 80 80
Chemistry 100 63 63
Mathematics 100 88 88
Physics, Chemistry & Mathematics combined Percentage: 77
English 100 76 76
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
11/2014 Patriotic singing School level 4
10/2015 100M race School 3
09/2018 Basketball District level 5
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning the knowledge of bodybuilding and finance.
Why do you wish to join TMI?: TMI is one of the prestigious college which is approved by DG shipping.Prominent companies visit here for the placement s. The DNS fee structure is quite less compare to other colleges.
What are your hobbies?: Learning the finance playing watching cricket.
What are your strengths?: I can control my anger.
What are your weaknesses?: anxious introvert.
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.