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


  Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Penta Sai Pranaya
Mother's Name: Penta Rama
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Sep 2003 Nationality: Indian
Place of Birth: Jharsuguda Personal Identification Mark: Mole on right hand
Blood Group: B + Address for Communication: 4-49 Pedhaveedi Therlam
State: Andhra Pradesh Country: India
Pin: 535126 City/District: Vizianagaram
Mobile no: 7978163306 Telephone No. with STD code: +917978163306
Aadhar Card No:798756085347 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Petna Kumar Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1972 Parent's/Guardian's Occupation/Designation: Private employee
Office Address:
Address: Kanheipur Jaipur Road
Country: India State: Orissa
City/District: Jajpur Pin: 755019
Tel: 91 Mobile no.: 8917280596
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Andhra Pradesh
School: St Marys School: Sasi Jr college
City: Jaipur Road City: Vishakapatnam
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: Thagarapuvalsa
  Pin: 531163
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 150
Chemistry 150
Mathematics 300
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 ?: I have apetite for Knowledge and skills so I keep on learning at least few new things everyday
Why do you wish to join TMI?: I think this is one of the best institute for DNS .I think I am fit for TMI as I dont have homesickness and have sound Adaptibility. I have attitude of self control,responsibility and disciplined character
What are your hobbies?: Learning new facts everyday and gathering latest tech updates
What are your strengths?: Believe in myself and my own strength.Never give up until given task is completed
What are your weaknesses?: Not much expressive in expressions
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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