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


  Dossier ID: DNS2177887
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Nitlesh Kumar
Mother's Name: Mosam Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jun 2001 Nationality: Indian
Place of Birth: Narnaul Personal Identification Mark: A mole on face
Blood Group: B + Address for Communication: Vill- Gunti post- Pacheri Badi Teh- Buhana Jhunjhunu Rajasthan Vill- Gunti post-Pacheri Badi Teh-Buhana Jhunjhunu
State: Rajasthan Country: India
Pin: 333515 City/District: Jhunjhunu
Mobile no: 7357150258 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Jogender Relationship with candidate: Son
Parents Date of Birth: 18 Jun 1985 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Vill-Gunti post-Pacheri Badi Teh-Buhana Jhunjhunu Rajasthan Vill-Gunti post-Pacheri Badi Teh-Buhana Jhunjhunu
Country: India State: Rajasthan
City/District: Jhunjhunu Pin: 333515
Tel: Mobile no.: 9928028555
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: CBSE
School: DAV School: YSN
City: Behror City: Narnaul
English %: 96 Board Roll No./Seat No.: 2667160
Aggregate Percentage: 96 School/College Code: 20104
  Centre code: 530171
  Address of School/College: Narnaul
  Pin: 333515
  Contact Nos:
  Aggregate Percentage: 81
Details of Marks Secured in (10+2) Examination -

Physics 100 90 90
Chemistry 100 88 88
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 79.67
English 100 67 67
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for defence exams
Why do you wish to join TMI?: It is one of the best maritime academy
What are your hobbies?: Playing and reading
What are your strengths?: I never give up
What are your weaknesses?: I believe everyone easily
How do you intend to meet the expenses of this program?: Own Resources
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.