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


  Dossier ID: DNS2180433
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Pranjal Rai
Mother's Name: Seema Rai
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Sep 2004 Nationality: Indian
Place of Birth: Varanasi Personal Identification Mark: Mole on face
Blood Group: O + Address for Communication: 67,vindhyawashini nagar colony Orderly Bazar
State: Uttar Pradesh Country: India
Pin: 221002 City/District: Varanasi
Mobile no: 9696216867 Telephone No. with STD code:
Aadhar Card No:722460060153 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajeev Rai Relationship with candidate: Father
Parents Date of Birth: 03 Dec 1969 Parent's/Guardian's Occupation/Designation: Bussiness
Office Address:
Address: 67 vindhyawashini nagar colony Orderly Bazar
Country: India State: Uttar Pradesh
City/District: VARANASi Pin: 221002
Tel: 9696216878 Mobile no.: 9415371854
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: SANT ATULANAND CONVENT SCHOOL School: Sant Atulanand Convent School
City: VARANASI City: Varanasi
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Centre code:
  Address of School/College: Koirajpur, Harahua, Varanasi
  Pin: 221105
  Contact Nos: 1800121400500
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will work on myself like i will do my communication skill strong
Why do you wish to join TMI?: I wish to join TMI because it is best collage for dns and it provide best environment for this.
What are your hobbies?: Sports and Travelling
What are your strengths?: Iam dedicated to work and have leadership qualities
What are your weaknesses?: I Feel shy at parties
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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.