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


  Dossier ID: DNS2177737
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Anand krishna
Mother's Name: Sunitha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Jul 2003 Nationality: Indian
Place of Birth: Edakkara Personal Identification Mark: Black spot on left chin
Blood Group: O + Address for Communication: 9539842650 8593842650
State: Kerala Country: India
Pin: 679331 City/District: Malappuram
Mobile no: 9539842650 Telephone No. with STD code:
Aadhar Card No:296865659021 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Venu gopalan Relationship with candidate: Father
Parents Date of Birth: 26 May 1973 Parent's/Guardian's Occupation/Designation: Agricultural
Office Address:
Address: 9539842650 8593842650
Country: India State: Kerala
City/District: Malappuram Pin: 679331
Tel: Mobile no.: 8593842650
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Ghss moothedath School: Ghss edakkara
City: Malappuram City: Malappuram
English %: 100 Board Roll No./Seat No.:
Aggregate Percentage: 100 School/College Code:
  Centre code:
  Address of School/College: Ghss edakkara Edakkara Malappuram Kerala
  Pin: 679331
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 200
Chemistry 200
Mathematics 200
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 ?: Prepare for IMUCET
Why do you wish to join TMI?: best option in front of me
What are your hobbies?: Playing cricket, reserch about a topic
What are your strengths?: My family
What are your weaknesses?: Nothing
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 ________________

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