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: DNS2050070 Name: PUNEETH S DEVADIGA
  Address: Vishwambara Pithrody,udyavara,udupi,karnataka
Telephone No.: Mobile no: 7975817449
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305060341
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050070 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: DNS2050070
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: PUNEETH S DEVADIGA
Mother's Name: Sandhya S Devadiga
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Mar 2002 Nationality: Indian
Place of Birth: Udupi Personal Identification Mark: Mole between jawline
Blood Group: AB + Address for Communication: Vishwambara Pithrody,udyavara,udupi,karnataka
State: Karnataka Country: India
Pin: 574118 City/District: Udupi
Mobile no: 7975817449 Telephone No. with STD code:
Aadhar Card No:635271859694 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shekara S Devadiga Relationship with candidate: Father
Parents Date of Birth: 01 Feb 1966 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Matangadi udyavara Udupi,karnataka
Country: India State: Karnataka
City/District: Udupi Pin: 574118
Tel: Mobile no.: 9972387031
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Karnataka Board: Karnataka
School: School: Poorna prajna college
City: Udupi City: Udupi
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Poorna prajna college udupi
  Pin: 574118
  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 ?: I will utilize my time for preparation of sponsorship test and for imu cet
Why do you wish to join TMI?: Many of companies are with tmi and infrastructure is also good when compared to other college and I know it will help in my carrier in merchant navy and I heard discipline and education is also good
What are your hobbies?: My hobby is swimming
What are your strengths?: Self confidence
What are your weaknesses?: Straight forward
How do you intend to meet the expenses of this program?: Bank Loan
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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