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


  Dossier ID: DNS2180754
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Devansh Malik
Mother's Name: Anshu
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Dec 2002 Nationality: Indian
Place of Birth: india Personal Identification Mark: black spot on left shoulder
Blood Group: A + Address for Communication: House no.-454, lane no. -2 , Anand puri roorkee road
State: Uttar Pradesh Country: India
Pin: 251001 City/District: muzaffarnagar
Mobile no: 9897167487 Telephone No. with STD code:
Aadhar Card No:732239367402 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Neeraj Kant Malik Relationship with candidate: father
Parents Date of Birth: 06 Aug 1972 Parent's/Guardian's Occupation/Designation: advocate
Office Address:
Address: House no.-454, lane no. -2 , Anand puri roorkee road
Country: India State: Uttar Pradesh
City/District: muzaffarnagar Pin: 251001
Tel: Mobile no.: 9411273545
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: S.D. Public school School: S.D. Public school
City: muzaffarnagar City: muzaffarnagar
English %: 96 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Centre code:
  Address of School/College: Sr. Wing Bhopa Road, Jr. Wing Near Roadways Bus Stand, Muzaffarnagar, Uttar Pradesh 251001
  Pin: 251001
  Contact Nos:
  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
05/2019 cricket school 2
09/2018 basketball school 1
10/2019 basketball school 1
11/2019 badminton school 2
How do you intend spending your time after completing class XII Final exams and before joining college ?: studying for spornsership test and imucet .... with proper physical activities.
Why do you wish to join TMI?: i know tmi is a very good college for dns cousre and other courses too ...
What are your hobbies?: playing basketball and cricket , listening rap music
What are your strengths?: I have a very nice coopertive nature and i always try work hard and with dedication
What are your weaknesses?: i feel shy sometimes when in any huge gathering or party
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.