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: Athuluri Lohith Naidu
Mother's Name: A Bharathamma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Mar 2003 Nationality: Indian
Place of Birth: Rompucharla Personal Identification Mark: A Mole under chin
Blood Group: O + Address for Communication: Kalikiri Sainik school kalikiri
State: Andhra Pradesh Country: India
Pin: 517234 City/District: CHITTOOR
Mobile no: 7075499416 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: A Vemasekhar Naidu Relationship with candidate: Father
Parents Date of Birth: 17 Jan 1976 Parent's/Guardian's Occupation/Designation: Ex ARMY
Office Address:
Address: Sainik school kalikiri Kalikiri
Country: India State: Andhra Pradesh
City/District: TIRUPATI Pin: 517507
Tel: 09705907102 Mobile no.: 9705907102
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Sainik school kalikiri School: Sainik school kalikiri
City: TIRUPATI City: Kalikiri
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 64 School/College Code:
  Centre code:
  Address of School/College: Sainik school kalikiri Kalikiri
  Pin: 517507
  Contact Nos: 09705907102
  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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