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


  Dossier ID: DNS2175747
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Isha
Mother's Name: Meera
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Feb 2004 Nationality: Indian
Place of Birth: New Delhi Personal Identification Mark: cut mark on the left eyebrow
Blood Group: A + Address for Communication: F-3/100 Sultanpuri, New Delhi F-3/100 Sultanpuri, New Delhi
State: Delhi Country: India
Pin: 110086 City/District: New Delhi
Mobile no: 9899094617 Telephone No. with STD code:
Aadhar Card No:859596577458 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Meera Relationship with candidate: Mother
Parents Date of Birth: 25 Aug 1975 Parent's/Guardian's Occupation/Designation: supervisor
Office Address:
Address: F-3/100 Sultanpuri, New Delhi F-3/100 Sultanpuri, New Delhi
Country: India State: Delhi
City/District: New Delhi Pin: 110086
Tel: Mobile no.: 9899094617
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: RR Geeta Bal Bharti Senior Secondary School School: Sarvodaya Kanya Vidyalaya d -block Mangolpuri
City: New Delhi City: New Delhi
English %: 59 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Centre code:
  Address of School/College: F-3/100 Sultanpuri, New Delhi F-3/100 Sultanpuri, New Delhi
  Pin: 110086
  Contact Nos: 09899094617
  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 400 meter school level 3rd
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will spend my time to learn swimming and improve my communication skills.
Why do you wish to join TMI?: At present this is the best Maritime academy in India with the maximum training, knowledge and placement percentage.
What are your hobbies?: I am fond of adventure sports and listening to light music.
What are your strengths?: I can get my work done even in the face of difficult obstacles.
What are your weaknesses?: I do not speak English fluently. Now I am trying to improve myself in this field.
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.