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: Simarnoor Singh
Mother's Name: Navdeep Kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jun 2003 Nationality: INDIAN
Place of Birth: Phagwara Personal Identification Mark: Birth Mark
Blood Group: B + Address for Communication: 11, Urban Avenue Near Urban Estate
State: Punjab Country: India
Pin: 144401 City/District: Phagwara
Mobile no: 9814863692 Telephone No. with STD code:
Aadhar Card No:671964627155 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Amanpal Singh Relationship with candidate: Father
Parents Date of Birth: 25 Apr 1973 Parent's/Guardian's Occupation/Designation: Govt. Service
Office Address:
Address: Mini Secretariat Hoshiarpur
Country: India State: Punjab
City/District: Hoshiarpur Pin: 146001
Tel: Mobile no.: 9814853692
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Swami Sant Dass Public School School: Shemrock Senior Secondary School
City: Phagwara City: Mohali
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: Shemrock Senior Secondary School, Sec-69, Mohali
  Pin: 160069
  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 ?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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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