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


  Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: SHIVAM RANA
Mother's Name: NEETU RANA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Sep 2003 Nationality: Indian
Place of Birth: DEHRADUN Personal Identification Mark: No
Blood Group: O + Address for Communication: Near SBI SELAQUI DEHRADUN Near State bank of India , selaqui , dehradun
State: Uttaranchal Country: India
Pin: 248011 City/District: DEHRADUN
Mobile no: 8979907607 Telephone No. with STD code: 8979907607
Aadhar Card No:516066326860 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: SATISH RANA Relationship with candidate: FATHER
Parents Date of Birth: 30 Apr 1978 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Near SBI SELAQUI DEHRADUN Near State bank of India , selaqui , dehradun
Country: India State: Uttaranchal
City/District: DEHRADUN Pin: 248011
Tel: 8979907607 Mobile no.: 8979907607
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
City: DEHRADUN City: Dehradun
English %: 95 Board Roll No./Seat No.: 25614670
Aggregate Percentage: 90 School/College Code: 81630
  Centre code: 8061
  Address of School/College: Bhauwala,sunderban,dehradun
  Pin: 248007
  Contact Nos: 8979907607
  Aggregate Percentage: 91
Details of Marks Secured in (10+2) Examination -

Physics 100 88 88
Chemistry 100 84 84
Mathematics 100 87 87
Physics, Chemistry & Mathematics combined Percentage: 86.33
English 100 98 98
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would be spending my time studying for IIMUCET exam and other than this ill explore somethings.
Why do you wish to join TMI?: I wish to join TMI as its a renowned college and it can provide me a good career ahead.
What are your hobbies?: Cricket
What are your strengths?: My Strengths are Flexibilty ,honesty ,cooperative , and sincerity
What are your weaknesses?: I am too much detail oriented and some time insecure.
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 ________________

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