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: DNS2050087 Name: Krushna kashinath shingade
  Address: Pimpri pendhar Junnar
Telephone No.: Mobile no: 9561003202
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305116598
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050087 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: DNS2050087
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Krushna kashinath shingade
Mother's Name: Sindhubai
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 May 2000 Nationality: Indian
Place of Birth: Dharmewadi Personal Identification Mark: Thumb nail of left leg damaged
Blood Group: O + Address for Communication: Pimpri pendhar Junnar
State: Maharashtra Country: India
Pin: 410504 City/District: PUNE
Mobile no: 9561003202 Telephone No. with STD code:
Aadhar Card No:488784784860 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kashinath shingade Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1974 Parent's/Guardian's Occupation/Designation: Farming
Office Address:
Address: Pimpri Pendhar Junnar
Country: India State: Maharashtra
City/District: Pune Pin: 410504
Tel: Mobile no.: 9588463066
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: Shri Sadguru Sitaram Maharaj vidyalaya School: DEMS and Junior collage
City: Pimpri Pendhar City: Ale
English %: 81 Board Roll No./Seat No.: P040211
Aggregate Percentage: 85 School/College Code: 0046
  Centre code: 0184
  Address of School/College: Ale , tal junnar , dist Pune
  Pin: 412411
  Contact Nos:
  Aggregate Percentage: 77
Details of Marks Secured in (10+2) Examination -

Physics 100 66 66
Chemistry 100 63 63
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 68
English 100 75 75
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
12/2017 Science exhibition District level Qualified for national level with position
Vocational and Training Courses undertaken:
05/2017 MH CET 2 month
05/2017 CCC 2 month
04/2018 Typing 3 month
How do you intend spending your time after completing class XII Final exams and before joining college ?: In studying fir imu exam
Why do you wish to join TMI?: To explore the world with profession
What are your hobbies?: Playing team games
What are your strengths?: Learn from mistakes
What are your weaknesses?: Makes mistake
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 Class XII admit card not uploaded Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________

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