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


  Dossier ID: DNS2177104
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ayush joshi
Mother's Name: Renu joshi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Sep 2003 Nationality: Indian
Place of Birth: Chandigarh Personal Identification Mark: Cut above my right eye
Blood Group: A + Address for Communication: Nshru colony, g-block 163 Shri guru ram rai public school racecource
State: Uttaranchal Country: India
Pin: 248001 City/District: Dehradun
Mobile no: 9411311562 Telephone No. with STD code:
Aadhar Card No:614102440103 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Renu joshi Relationship with candidate: Mother
Parents Date of Birth: 01 Jan 1982 Parent's/Guardian's Occupation/Designation: Private job
Office Address:
Address: Nehru colony, G-block 163 Dehradun
Country: India State: Uttaranchal
City/District: Dehradun Pin: 248001
Tel: Mobile no.: 8392835959
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Shri guru ram rai public school racecource School: Shri guru ram rai public school racecource
City: Dehradun City: Dehradun
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: Racecource dehradun
  Pin: 248001
  Contact Nos: 9411311562
  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 ?: Work on my physique and read some novels
Why do you wish to join TMI?: Because it is the best institute in india and for good placement
What are your hobbies?: Reading newspaper , excercising and dancing
What are your strengths?: My strenghts are Self control, taking initiative, learning something new and honesty
What are your weaknesses?: My weaknesses are Presentaion skills and self criticism
How do you intend to meet the expenses of this program?: Bank Loan
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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.