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: DNS2050826 Name: Pranjal Pandey
  Address: Maa Vaishno Nagar Colony Dahaiya
Telephone No.: Mobile no: 8299231163
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 308057946
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050826 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: DNS2050826
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Pranjal Pandey
Mother's Name: Hema Pandey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Mar 2003 Nationality: Indian
Place of Birth: Varanasi Personal Identification Mark: Black spot on face
Blood Group: O + Address for Communication: Maa Vaishno Nagar Colony Dahaiya
State: Uttar Pradesh Country: India
Pin: 221008 City/District: Chandauli
Mobile no: 8299231163 Telephone No. with STD code:
Aadhar Card No:795636029224 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ajay Kumar Pandey Relationship with candidate: Father
Parents Date of Birth: 15 Oct 1977 Parent's/Guardian's Occupation/Designation: Private job
Office Address:
Address: Mahmoorganj Varanasi
Country: India State: Uttar Pradesh
City/District: Varanasi Pin: 221010
Tel: Mobile no.: 9415531379
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Tulsi Vidya Niketan School: Tulsi Vidya Niketan
City: Varanasi City: Varanasi
English %: 79 Board Roll No./Seat No.: 23713306
Aggregate Percentage: 75 School/College Code: 71294
  Centre code: 7306
  Address of School/College: Nagwa lanka chungi
  Pin: 221005
  Contact Nos:
  Aggregate Percentage: 67
Details of Marks Secured in (10+2) Examination -

Physics 100 67 67
Chemistry 100 66 66
Mathematics 100 53 53
Physics, Chemistry & Mathematics combined Percentage: 62
English 100 77 77
IMU CET Application Number: CET20U87251  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for inteview and entrance exam and also some physical activity
Why do you wish to join TMI?: By its educational quality and supports
What are your hobbies?: Doing regular physical activity
What are your strengths?: To memorise esaly and fastly
What are your weaknesses?: Get sad on small things
How do you intend to meet the expenses of this program?: Own Resources
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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