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


  Dossier ID: DNS2176417
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Harshith Kumar M
Mother's Name: Mamatha B C
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Jun 2003 Nationality: India
Place of Birth: Bengaluru Personal Identification Mark: Scar on neck
Blood Group: B - Address for Communication: Vaddarahalli Hadonahalli post Doddaballapur taluk
State: Karnataka Country: India
Pin: 561203 City/District: Bengaluru rural
Mobile no: 7406001046 Telephone No. with STD code:
Aadhar Card No:307734496970 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Munianjinappa V T Relationship with candidate: Father
Parents Date of Birth: 11 Sep 1969 Parent's/Guardian's Occupation/Designation: Agriculture
Office Address:
Address: Vaddarahalli Hadonahalli post Doddaballapur taluk
Country: India State: Karnataka
City/District: Bengaluru rural Pin: 561203
Tel: Mobile no.: 7619437736
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Jawahar Navodaya Vidyalaya Doddaballapur School: Jawahar Navodaya Vidyalaya Bengaluru rural
City: Bengaluru rural City: Bengaluru rural
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: Jawahar Navodaya Vidyalaya , Bashettihalli, Doddaballapur 561203 Bengaluru rural
  Pin: 561203
  Contact Nos: 7406001046
  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
11/2016 Kabbaddi football kho kho relay Under 14 housewise competition jnvd Winners
11/2017 Singing Hosewise competition jnv Runner
11/2018 Kabbaddi football Under 17 jnv housewise competition Winner
08/2019 Kabbaddi Regional level NVS Hyderabad region Runner
Vocational and Training Courses undertaken:
8/2018 Class 10 1 month
How do you intend spending your time after completing class XII Final exams and before joining college ?: Gym fitness, spoken English classes, swimming, study,
Why do you wish to join TMI?: The reputed Institute that provides me better training for deck cadet and to become a good, decilplined officer, and gives good companies sponsorship that will gives me job security etc where I can serve my maximum
What are your hobbies?: Playing sports and games, reading, listening songs, watching movies, riding etc
What are your strengths?: Self confident, hard working, leadership, patience
What are your weaknesses?: Fear of failure which I can overcome.
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
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.