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


  Dossier ID: DNS2177611
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Muskan
Mother's Name: Kavita
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Jun 2002 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: Mole on left hand thumb
Blood Group: B + Address for Communication: Sonipat Sonipat Sonipat
State: Haryana Country: India
Pin: 131101 City/District: Sonipat
Mobile no: 6239026528 Telephone No. with STD code:
Aadhar Card No:646404050408 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sudhir kumar Relationship with candidate: Father
Parents Date of Birth: 03 May 1970 Parent's/Guardian's Occupation/Designation: Private job
Office Address:
Address: Sonipat Sonipat Sonipat
Country: India State: Haryana
City/District: Sonipat Pin: 131101
Tel: Mobile no.: 8683936138
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: B. R. Global school School: Hindu senior secondary school near court road
City: Sonipat City: Sonipat
English %: 89 Board Roll No./Seat No.: 17697531
Aggregate Percentage: 82 School/College Code: 40220
  Centre code: 4291
  Address of School/College: Sonipat
  Pin: 131101
  Contact Nos:
  Aggregate Percentage: 75
Details of Marks Secured in (10+2) Examination -

Physics 100 75 75
Chemistry 100 76 76
Mathematics 100 50 50
Physics, Chemistry & Mathematics combined Percentage: 67
English 100 85 85
IMU CET Application Number: CETF21300302  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
10/2019 District level science exhibition District level First
How do you intend spending your time after completing class XII Final exams and before joining college ?: By preparing for ssc exam
Why do you wish to join TMI?: For adventure
What are your hobbies?: Playing basketball
What are your strengths?: Family
What are your weaknesses?: Fear
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate Class XII admit card Class XII marksheet

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.