Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
(New Admission Diploma in Nautical Science 2020)

Application Summary: Diploma in Nautical Science
Dossier ID: DNS2050005 Name: Akashdeep singh
  Address: vilage kullian p/o garhdiwala dist. Hoshiarpur ,Punjab
Telephone No.: 09463287029 Mobile no: 9463287029
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 304966507
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050005 are true and correct.
Signature of Candidate Signature of Parent/Guardian



Date ________________ Date ________________
Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

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


  Dossier ID: DNS2050005
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Akashdeep singh
Mother's Name: Gurmit kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Dec 2001 Nationality: Indian
Place of Birth: india Personal Identification Mark: black dot on chin and little golden beard
Blood Group: B + Address for Communication: vilage kullian p/o garhdiwala dist. Hoshiarpur ,Punjab
State: Punjab Country: India
Pin: 144207 City/District: Others
Mobile no: 9463287029 Telephone No. with STD code: 09463287029
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: sourav singh Relationship with candidate: brother
Parents Date of Birth: 27 Jun 1975 Parent's/Guardian's Occupation/Designation: student
Office Address:
Address: vill. kullian p/o garhdiwala dist. hoshiarpur ,Punjab
Country: India State: Punjab
City/District: Hoshiarpur Pin: 144207
Tel: Mobile no.: 7888626992
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Punjab
School: Sant Baba Harnam Singh Khalsa Model School Garhdiwala School: ST college of nursing and medical sciences
City: Hoshiarpur City: Hoshiarpur
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: mehlawali,una road ,hoshiarpur,Punjab
  Pin: 146110
  Contact Nos: 9855780801
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 75
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
09/2019 Model of United Nations19 District participated as distinguish representatove
12/2015 NSTSE16 national 11384
02/2020 His Helping Hands district member of doation team
11/2019 Dr APJ national innovation conclave district participation
How do you intend spending your time after completing class XII Final exams and before joining college ?: by learning guitar.joining gym and learning spoken english
Why do you wish to join TMI?: because it is world recognized and it has best facilities and placement for dns
What are your hobbies?: playing guitar and volleyball
What are your strengths?: my capability of retention
What are your weaknesses?: introvert to little extent
How do you intend to meet the expenses of this program?: Other - directly in hands of college
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 ________________

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