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: Vicky kumar
Mother's Name: Urmila Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jun 2003 Nationality: Indian
Place of Birth: Saran Distr Personal Identification Mark: Mole on right foot
Blood Group: O + Address for Communication: Mashrakh, saran Bihar, 841417
State: Bihar Country: India
Pin: 841417 City/District: Saran District
Mobile no: 9608893728 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Urmila Devi Relationship with candidate: Son
Parents Date of Birth: 01 Jan 1967 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Mashrakh, saran Bihar, 841417
Country: India State: Bihar
City/District: Saran District Pin: 841417
Tel: Mobile no.: 8340566166
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: DPSJ School: Kendriya Vidyalaya
City: Motihari City: Mashrakh
English %: 61 Board Roll No./Seat No.: 22669637
Aggregate Percentage: 65 School/College Code: 69063
  Centre code: 6708
  Address of School/College: Mashrakh, saran Bihar
  Pin: 841417
  Contact Nos: 9608893725
  Aggregate Percentage: 74
Details of Marks Secured in (10+2) Examination -

Physics 100 73 73
Chemistry 100 70 70
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 71
English 100 82 82
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Prepare for general competitive exam, reading magzine watching webseries and movie
Why do you wish to join TMI?: I want to join TMI as it is obviously best institute in indian or even asia for DNS course
What are your hobbies?: Playing Badminton
What are your strengths?: I try to motivate myself in bad situations and accept criticism and take that in a positive way.
What are your weaknesses?: I trust easily someone
How do you intend to meet the expenses of this program?: Own Resources,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 ________________

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