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: Deepanshu Maurya
Mother's Name: Anita Maurya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Dec 2003 Nationality: Indian
Place of Birth: New Delhi Personal Identification Mark: Broad Forehead
Blood Group: AB + Address for Communication: D 53 West Vinod Nagar Opposite Saraswati kunj apartments Delhi 110092
State: Delhi Country: India
Pin: 110092 City/District: East Delhi
Mobile no: 9311099590 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Jitesh Maurya Relationship with candidate: Father
Parents Date of Birth: 19 Nov 1974 Parent's/Guardian's Occupation/Designation: Architect
Office Address:
Address: D 53 West Vinod Nagar gali no. 11 Delhi 110092
Country: India State: Delhi
City/District: East Delhi Pin: 110092
Tel: Mobile no.: 8882499590
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Baptist Convent Sr. Sec. School School: RSBV WVN
City: East Delhi City: East Delhi
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: West Vinod Nagar, I.P. Extension, Patparganj, Delhi
  Pin: 110092
  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 ?: I will focus on doing my skills strong
Why do you wish to join TMI?: Best college
What are your hobbies?: I like to watch the night sky to observe astronomical objects
What are your strengths?: leadership quality
What are your weaknesses?: feel shy at parties
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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