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: Abhishek chauhan
Mother's Name: meenu devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Jul 2002 Nationality: Indian
Place of Birth: dehradun Personal Identification Mark: none
Blood Group: A + Address for Communication: dumet,PO-ashok ashram chilliyon ambari,dehradun,uttarakhand vill demou,PO-demou, kalsi,dehradun
State: Uttaranchal Country: India
Pin: 248125 City/District: dehradun
Mobile no: 9084258418 Telephone No. with STD code:
Aadhar Card No:722517370244 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: atar singh Relationship with candidate: father
Parents Date of Birth: 01 Sep 1973 Parent's/Guardian's Occupation/Designation: farmer
Office Address:
Address: dumet,PO-ashok ashram chilliyon ambari,dehradun,uttarakhand vill demou,PO-demou, kalsi,dehradun
Country: India State: Uttaranchal
City/District: dehradun Pin: 248125
Tel: Mobile no.: 9816531018
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Uttaranchal Board: Uttaranchal
School: maharishi aurobindo ghosh inter college MAGIC Dakpathar vikasnagar dehradun School: maharishi aurobindo ghosh inter college MAGIC Dakpathar vikasnagar dehradun
City: dehradun City: dehradun
English %: 90 Board Roll No./Seat No.: 17036468
Aggregate Percentage: 79 School/College Code: 206
  Centre code: 206
  Address of School/College: old Yamuna colony dakpathar, vikasnagar 248125
  Pin: 248125
  Contact Nos: 9084258418
  Aggregate Percentage: 64
Details of Marks Secured in (10+2) Examination -

Physics 100 70 70
Chemistry 100 64 64
Mathematics 100 48 48
Physics, Chemistry & Mathematics combined Percentage: 60.67
English 100 60 60
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I started preparing for merchant navy and gaining information about this field and collected my material for studies .
Why do you wish to join TMI?: TMI is one of the largest maritime educational centers and every one wants the opportunity to join institute becase TMI have been awarded grade A1 in the inspection programme of DG shipping.
What are your hobbies?: listening music and clean my surroundings in free time
What are your strengths?: my biggest srengths is i dont take any work as pressure on me i do every work as responsibility on me and i can adjust in new environment easily
What are your weaknesses?: leaving unfinished work
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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