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


  Dossier ID: DNS2178003
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Yugant raj singh
Mother's Name: Shashikanta singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 1970 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: A mole on face right side
Blood Group: A + Address for Communication: Gutahiya Jaganpur Kanpur dehat
State: Uttar Pradesh Country: India
Pin: 209303 City/District: Ka pura dehat
Mobile no: 7991723665 Telephone No. with STD code:
Aadhar Card No:367114303242 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Murat singh Relationship with candidate: Father
Parents Date of Birth: 01 Mar 1976 Parent's/Guardian's Occupation/Designation: Merchant
Office Address:
Address: Gutahiya Jaganpur Kanpur dehat
Country: India State: Uttar Pradesh
City/District: Kanpur dehat Pin: 209303
Tel: Mobile no.: 9956205648
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Uttar Pradesh Board: Uttar Pradesh
School: Pt. Ramji lal inter college banipara kanpur dehat School: PT Ramji lal inter college Banipara kanpur dehat
City: Kanpur dehat City: Ka pura dehat
English %: 82 Board Roll No./Seat No.: 1097099
Aggregate Percentage: 81 School/College Code: 1192
  Centre code: 03869
  Address of School/College: Gutahiya Jaganpur Kanpur dehat
  Pin: 209303
  Contact Nos: 09956205648
  Aggregate Percentage: 77
Details of Marks Secured in (10+2) Examination -

Physics 100 82 82
Chemistry 100 82 82
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 79.67
English 100 75 75
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation merchant nevy
Why do you wish to join TMI?: For joining merchant navy
What are your hobbies?: Play games
What are your strengths?: Support of family and knowledge
What are your weaknesses?: Food
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 not uploaded Class XII admit card not uploaded Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________