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


  Dossier ID: DNS2179575
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Arpit Kumar Paliwal
Mother's Name: Seema Paliwal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jan 2003 Nationality: Indian
Place of Birth: Farrukhabad Personal Identification Mark: Difference in right hand thumb
Blood Group: A + Address for Communication: AIRWA KATRA district Auraiya Uttar Pradesh 206252 Airwa katra airwa pachhela
State: Uttar Pradesh Country: India
Pin: 206252 City/District: Airwa katra
Mobile no: 9058891769 Telephone No. with STD code:
Aadhar Card No:620523983574 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Seema Paliwal Relationship with candidate: Mother
Parents Date of Birth: 31 Jul 1972 Parent's/Guardian's Occupation/Designation: House wife
Office Address:
Address: AIRWA KATRA district Auraiya Uttar Pradesh 206252 Airwa katra airwa pachhela
Country: India State: Uttar Pradesh
City/District: Auraiya Pin: 206252
Tel: 09528825685 Mobile no.: 9528825685
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Uttar Pradesh Board: CBSE
School: Rapid Global School School: Rapid Global School
City: Bidhuna City: Airwa katra
English %: 100 Board Roll No./Seat No.: 5628241
Aggregate Percentage: 100 School/College Code: 54830
  Centre code: 5059
  Address of School/College: Bidhuna Auraiya Uttar Pradesh 206252 Airwa katra airwa pachhela
  Pin: 206243
  Contact Nos: 09058891769
  Aggregate Percentage: 79
Details of Marks Secured in (10+2) Examination -

Physics 100 74 74
Chemistry 100 62 62
Mathematics 100 92 92
Physics, Chemistry & Mathematics combined Percentage: 76
English 100 80 80
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
07/2018 Kabbadi District level 2nd
08/2017 Chess School level 1st
How do you intend spending your time after completing class XII Final exams and before joining college ?: Attend a career counseling sessions
Why do you wish to join TMI?: Because of its mission which is to bring a positive change in the marintime industry for people and on the other hand it also rank 1 in all academy to give its best for its cadets...
What are your hobbies?: Reading novels , playing chess , listening music
What are your strengths?: Focused , Dedicated , taking initiative
What are your weaknesses?: Insecure , a little introvert , sensitive
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.