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: Akash yadav
Mother's Name: Lalita Devi yadav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Apr 2003 Nationality: Indian
Place of Birth: West Bengal Personal Identification Mark: Mole in right arm
Blood Group: O + Address for Communication: Andul road Howrah Chunavhati
State: West Bengal Country: India
Pin: 711109 City/District: Howrah
Mobile no: 9875389264 Telephone No. with STD code:
Aadhar Card No:422182314414 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mithilesh Kumar Yadav Relationship with candidate: Father
Parents Date of Birth: 02 Jan 1981 Parent's/Guardian's Occupation/Designation: Driver
Office Address:
Address: Nil Nil Nil
Country: India State: West Bengal
City/District: Howrah Pin: 711109
Tel: Mobile no.: 9875389264
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Bodhicharya Senior Secondary School School: Asian International School
City: Kolkata City: Howrah
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Centre code:
  Address of School/College: Dhulagarh
  Pin: 711302
  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 ?: By spending quality time with friends and family
Why do you wish to join TMI?: A good placement by the college
What are your hobbies?: Cricket, dancing , singing and exercising
What are your strengths?: Recognition of my mistakes
What are your weaknesses?: Anger
How do you intend to meet the expenses of this program?: Own Resources,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 ________________

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