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


  Dossier ID: DNS2176572
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jay Patidar
Mother's Name: Sulekha patidar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Mar 2002 Nationality: INDIAN
Place of Birth: Indore Personal Identification Mark: Mole on lower lip
Blood Group: B + Address for Communication: 126-A Royal Residency Mhow, Indore, Madhya Pradesh
State: Madhya Pradesh Country: India
Pin: 453441 City/District: Indore
Mobile no: 7489647982 Telephone No. with STD code:
Aadhar Card No:927546763171 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Jay Patidar Relationship with candidate: Father
Parents Date of Birth: 06 Mar 1978 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: 126-A Royal Residency Mhow, Indore, Madhya Pradesh
Country: India State: Madhya Pradesh
City/District: Indore Pin: 453441
Tel: Mobile no.: 9977759021
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Madhya Pradesh Board: Madhya Pradesh
School: Mehar Public H.S. School School: Mehar Public H.S. School
City: Indore City: Indore
English %: 70 Board Roll No./Seat No.: 205333640
Aggregate Percentage: 73 School/College Code: 532439
  Centre code: 531049
  Address of School/College: Vishwas Nagar, Indore
  Pin: 453441
  Contact Nos: 7489647982
  Aggregate Percentage: 67
Details of Marks Secured in (10+2) Examination -

Physics 100 075 75
Chemistry 100 059 59
Mathematics 100 062 62
Physics, Chemistry & Mathematics combined Percentage: 65.33
English 100 061 61
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will spend my time by knowing more and more information about merchant navy and sea life.
Why do you wish to join TMI?: I do wish to Join TMI because TMI is the one of the oldest and Reputative Institute in India and I want to part of this Institute.
What are your hobbies?: My hobbies are playing volleyball and swimming.
What are your strengths?: My Strength is My Positive Attitude towards any work I do.
What are your weaknesses?: My weakness is I became restless when my work is left Incomplete.
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate Class XII admit card Class XII marksheet

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.