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


  Dossier ID: DNS2175881
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Chandan singh karki
Mother's Name: Kamla karki
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jul 2004 Nationality: Indian
Place of Birth: Uttarakhand Personal Identification Mark: Scar at back of head
Blood Group: O + Address for Communication: Tana bairat, pankhu, berinag Chaukori, berinag pithoragarh uttarakhand
State: Uttaranchal Country: India
Pin: 262533 City/District: Pithoragarh
Mobile no: 7055893178 Telephone No. with STD code:
Aadhar Card No:271582974419 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajendra singh karki Relationship with candidate: Father
Parents Date of Birth: 02 Sep 1974 Parent's/Guardian's Occupation/Designation: Forest inspector
Office Address:
Address: Pankhu, berinag, uttarakhand Pankhu, berinag ,uttarakhand
Country: India State: Uttaranchal
City/District: Pithoragarh Pin: 262533
Tel: Mobile no.: 7535056071
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Uttaranchal Board: Uttaranchal
School: Kmsb himalaya inter college chaukori School: Kmsb himalaya inter college chaukori
City: Berinag City: Berinag
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: Kmsb himalaya ic chaukori, berinag pithoragarh
  Pin: 262531
  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 ?: I will prepare for my defence examination.
Why do you wish to join TMI?: I wnated to join tmi due to its best facility and as it is good reputed college for merchant navy courses..
What are your hobbies?: I love palying games like cricket badminton and also online games
What are your strengths?: With respect to strengths i can adjust with situation ,i am in emphatic in nature i understand everyone situation, and decission taker
What are your weaknesses?: Talking about weakness i needed to work on my speaking english, and presentation
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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.