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: Ayush sharma
Mother's Name: Geeta sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Jul 2001 Nationality: Indian
Place of Birth: Ghaziabad Personal Identification Mark: Til on right leg
Blood Group: B + Address for Communication: Makanpur Indirapuram Ghaziabad
State: Uttar Pradesh Country: India
Pin: 201014 City/District: Ghaziabad
Mobile no: 9910248118 Telephone No. with STD code:
Aadhar Card No:262164232624 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ramdutta sharma Relationship with candidate: Father
Parents Date of Birth: 22 Oct 1986 Parent's/Guardian's Occupation/Designation: Private employee
Office Address:
Address: Sahibabad tata steel limited near dabur Ghaziabad
Country: India State: Uttar Pradesh
City/District: Ghaziabad Pin: 201014
Tel: Mobile no.: 9999929167
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2020
Board: CBSE Board: NIOS
School: Jkg international school School: Nios
City: Ghaziabad City: Ghaziabad
English %: 76 Board Roll No./Seat No.: 2102151933096
Aggregate Percentage: 64 School/College Code: 201309
  Centre code: 201309
  Address of School/College: Ghaziabad,noida
  Pin: 201014
  Contact Nos:
  Aggregate Percentage: 70
Details of Marks Secured in (10+2) Examination -

Physics 100 76 76
Chemistry 100 59 59
Mathematics 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 72.67
English 100 56 56
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for imu cet
Why do you wish to join TMI?: My dream
What are your hobbies?: Play games
What are your strengths?: Leadership , communication
What are your weaknesses?: Lack of experience and knowledge
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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