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


  Dossier ID: DNS2175454
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Unnat rajak
Mother's Name: Sangeeta
Gender (M/F): Male Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 15 Mar 2003 Nationality: Indian
Place of Birth: Jaunpur Personal Identification Mark: NO MARK
Blood Group: A - Address for Communication: Ghanshyampur Badlapur
State: Uttar Pradesh Country: India
Pin: 223104 City/District: Jaunpur
Mobile no: 6386100466 Telephone No. with STD code:
Aadhar Card No:379660126282 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajesh Relationship with candidate: Father
Parents Date of Birth: 22 Jul 1974 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Ghanshyampur Badlapur
Country: India State: Uttar Pradesh
City/District: Jaunpur Pin: 223104
Tel: Mobile no.: 9899138951
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Uttar Pradesh Board: Uttar Pradesh
School: Shri bajarang inter College School: Shri bajarang inter College
City: Jaunpur City: Jaunpur
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Centre code:
  Address of School/College: Ghanshyampur, Badlapur, Jaunpur Uttar Pradesh
  Pin: 223104
  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 ?: Preparing in IMU CET Exam
Why do you wish to join TMI?: It is best college
What are your hobbies?: Playing video game
What are your strengths?: I am too brave
What are your weaknesses?: I get emotional quickly
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.