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


  Dossier ID: DNS2176367
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Kulvir
Mother's Name: Saroj devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Nov 2002 Nationality: Indian
Place of Birth: Charkhi dad Personal Identification Mark: Cut on forehead
Blood Group: A + Address for Communication: Balkara charkhi dadri Haryana Balkara charkhi dadri Haryana
State: Haryana Country: India
Pin: 127022 City/District: Charkhi dadri
Mobile no: 7419091680 Telephone No. with STD code:
Aadhar Card No:514140987451 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Surat singh Relationship with candidate: Father
Parents Date of Birth: 09 Aug 1972 Parent's/Guardian's Occupation/Designation: Car mechanics
Office Address:
Address: Balkara charkhi dadri Haryana Balkara charkhi dadri Haryana
Country: India State: Haryana
City/District: Charkhi dadri Pin: 127022
Tel: 09991606150 Mobile no.: 9991606150
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Motivation Nehru school of sports School: Motilaal Nehru school of sports
City: Sonipat City: Sonipat
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Centre code:
  Address of School/College: Miss rai sonipat Haryana
  Pin: 131029
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
01/2020 Swimming National Participate
06/2019 Waterpolo Junior National Participate
03/2019 Swimming Club national Participate
01/2018 Swimming National Participate
How do you intend spending your time after completing class XII Final exams and before joining college ?: By taking computer course going for gym And joining library and preparing for Merchant navy
Why do you wish to join TMI?: This is best maritime institute and one of my friend recommended me for this institution
What are your hobbies?: Swimming water polo diving
What are your strengths?: I am physically and mentally fit
What are your weaknesses?: Tittle weak in English speaking
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.