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: Pranshu Chourasia
Mother's Name: Renu Chourasia
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Dec 2001 Nationality: Indian
Place of Birth: Bettiah Personal Identification Mark: Nothing
Blood Group: B + Address for Communication: Semri man nawalpur Nawalpur yogapatti
State: Bihar Country: India
Pin: 845452 City/District: Bettiah
Mobile no: 8789520648 Telephone No. with STD code:
Aadhar Card No:428093446038 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shashi Kant chourasia Relationship with candidate: Father
Parents Date of Birth: 17 Oct 1974 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Semri man nawalpur Nawalpur
Country: India State: Bihar
City/District: Bettiah Pin: 845452
Tel: Mobile no.: 9939630600
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Assambly of god church school School: Santiniketan jubli school
City: Bettiah City: Motihari
English %: 55 Board Roll No./Seat No.:
Aggregate Percentage: 43 School/College Code:
  Centre code:
  Address of School/College: Shantipuri, Rahman Coloney, Motihari, Bihar 845401
  Pin: 845401
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Catching up with my camera to click photography
Why do you wish to join TMI?: Sir I want to join TMI as its obviously the best institute in India or even Asia for Marine Engineering and also because I find myself a suitable candidate for this field as I am not much social and having lived away from my home since many years Ive developed the quality of adaptation which is a key requirement for this field
What are your hobbies?: Photography, cooking , recognise ing nature
What are your strengths?: I believe in my self
What are your weaknesses?: I am emotional person
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 ________________

Print Summary and Application Form