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


  Dossier ID: DNS2176829
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Royce francis fernandes
Mother's Name: Daise
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Mar 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Mole on left ear
Blood Group: A - Address for Communication: Krishna hsg society Tamhane vasti, chikhali Pune
State: Maharashtra Country: India
Pin: 412114 City/District: Pune
Mobile no: 9021916886 Telephone No. with STD code: 09021916886
Aadhar Card No:204350420787 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Francis Albart Fernandes Relationship with candidate: Father
Parents Date of Birth: 25 Jan 1976 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: Spaco MIDC chinchwad Pune
Country: India State: Maharashtra
City/District: Pune Pin: 411019
Tel: Mobile no.: 8010082224
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Padua high school School: stannsjrcollege
City: Mumbai City: Pune
English %: 60 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Centre code:
  Address of School/College: Triveni nagar, nigdi
  Pin: 411062
  Contact Nos: 02064109906
  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 ?: Preparing for IMUCET and doing workouts
Why do you wish to join TMI?: It is a well-known and top level institute
What are your hobbies?: Cooking
What are your strengths?: Trying to make new dishes
What are your weaknesses?: No such
How do you intend to meet the expenses of this program?: Other - Depends on situation
Review you documents:
Birth certificate 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 ________________