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


  Dossier ID: DNS2178894
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Deepak Singh
Mother's Name: Usha Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jan 2004 Nationality: Indian
Place of Birth: Mohania Personal Identification Mark: Mole above lip
Blood Group: B + Address for Communication: House no. 25,sofi enclave Rehmanpur
State: Punjab Country: India
Pin: 144024 City/District: Jalandhar
Mobile no: 6284012184 Telephone No. with STD code:
Aadhar Card No:516417009853 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Devendra Singh Relationship with candidate: Father
Parents Date of Birth: 09 Feb 1978 Parent's/Guardian's Occupation/Designation: Indian Army
Office Address:
Address: House no. 25,sofi enclave Rehmanpur
Country: India State: Punjab
City/District: Jalandhar Pin: 144024
Tel: Mobile no.: 6284012184
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Army public school jalandhar cantt School: Army public school jalandhar
City: Jalandhar City: Jalandhar
English %: 97 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Centre code:
  Address of School/College: Army public school jalandhar, Near military hospital, pin-144005
  Pin: 144005
  Contact Nos: 6284012184
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
12/2013 Athletics State 1
02/2014 Athletics National 4
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning a new skill of coding
Why do you wish to join TMI?: It is a highly paid job with full job security
What are your hobbies?: Playing cricket, solving mathematics
What are your strengths?: Physically and mentally strong
What are your weaknesses?: Stage fear
How do you intend to meet the expenses of this program?: Own Resources,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.