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


  Dossier ID: DNS2178865
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sanjam Singh
Mother's Name: Manjit Kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Mar 2004 Nationality: Indian
Place of Birth: Punjab Personal Identification Mark: Nil
Blood Group: B + Address for Communication: VPO Gopalpur Tehsil Rajpura District Patiala Gopalpur Gopalpur
State: Punjab Country: India
Pin: 147001 City/District: Patiala
Mobile no: 9478665212 Telephone No. with STD code: 09478665212
Aadhar Card No:471646291412 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Manjit Singh Relationship with candidate: Father
Parents Date of Birth: 12 Oct 1976 Parent's/Guardian's Occupation/Designation: Government employee
Office Address:
Address: Shakti vihar, Patiala Patiala Patiala
Country: India State: Punjab
City/District: Patiala Pin: 147001
Tel: 09646010112 Mobile no.: 9646010112
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Punjab
School: Scholars public school School: Multipurpose school
City: Rajpura City: Patiala
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Centre code:
  Address of School/College: Passi road patiala
  Pin: 147001
  Contact Nos: 09478665212
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 75
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying
Why do you wish to join TMI?: Campus
What are your hobbies?: Playing cricket , singing, acting, sports
What are your strengths?: My friends and parents
What are your weaknesses?: ....
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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.