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: DNS2051067 Name: Pratham Paul
  Address: 1587 LIC COLONY Near Yadav Colony
Telephone No.: 07612416186 Mobile no: 9713081819
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: 308280721
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051067 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: DNS2051067
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Pratham Paul
Mother's Name: Nimisha Paul
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Dec 2001 Nationality: Indian
Place of Birth: Jabalpur Personal Identification Mark: Scar above right eyebrow
Blood Group: A + Address for Communication: 1587 LIC COLONY Near Yadav Colony
State: Madhya Pradesh Country: India
Pin: 482002 City/District: Jabalpur
Mobile no: 9713081819 Telephone No. with STD code: 07612416186
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Nimisha Paul Relationship with candidate: Son
Parents Date of Birth: 18 Oct 1976 Parent's/Guardian's Occupation/Designation: Associate Professor
Office Address:
Address: Hitkarini Dental College Dumna Road, Jabalpur Madhya Pradesh
Country: India State: Madhya Pradesh
City/District: Jabalpur Pin: 482001
Tel: Mobile no.: 8770534413
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Christ Church Boys Senior Secondary School School: Shri Balaji Public School
City: Jabalpur City: Jabalpur
English %: 76 Board Roll No./Seat No.: 1728772
Aggregate Percentage: 76 School/College Code: 14763
  Centre code: 5160
  Address of School/College: Gram Basaha Kachnari Near JDA Scheme No 41
  Pin: 482003
  Contact Nos:
  Aggregate Percentage: 59
Details of Marks Secured in (10+2) Examination -

Physics 100 53 53
Chemistry 100 63 63
Mathematics 100 44 44
Physics, Chemistry & Mathematics combined Percentage: 53.33
English 100 67 67
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
04/2011 State Level Chess tournament Sub Junior Level Participation
07/2013 Sangeet Kala Praveshika Final Vocal First Division
11/2014 National Science Olympiad School Level School Rank 4
12/2014 International Mathematics Olympiad School Level School Rank 37
How do you intend spending your time after completing class XII Final exams and before joining college ?: As health is wealth so I would spend some time on fitness and health.
Why do you wish to join TMI?: As it is the best institute for maritime courses.
What are your hobbies?: Travelling and cooking.
What are your strengths?: Aim oriented, determined and workaholic.
What are your weaknesses?: Sleeping is my way of relaxation.
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 Class XII marksheet

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

Signature of Candidate



Date ________________

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