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: DNS2051301 Name: Devansh Bisht
  Address: House number 9B, block C5c Janakpuri New Delhi
Telephone No.: Mobile no: 8750779669
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 308626541
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051301 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: DNS2051301
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Devansh Bisht
Mother's Name: Hema Bisht
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Jan 2002 Nationality: Indian
Place of Birth: New Delhi Personal Identification Mark: scar above left eye
Blood Group: B + Address for Communication: House number 9B, block C5c Janakpuri New Delhi
State: Delhi Country: India
Pin: 110058 City/District: New Delhi
Mobile no: 8750779669 Telephone No. with STD code:
Aadhar Card No:273852719910 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Nandan Singh Relationship with candidate: Father
Parents Date of Birth: 13 May 1968 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: 119-120, first floor gagandeep building Ranjendra Place New Delhi
Country: India State: Delhi
City/District: New Delhi Pin: 110008
Tel: Mobile no.: 9540001486
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: St.Gregorios School School: St.Gregorios School
City: New Delhi City: New Delhi
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: Gregorios Nagar, sector 11, Dwarka, New delhi
  Pin: 110075
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
08/2017 Badminton zonal third
08/2018 badminton zonal second
08/2019 badminton zonal second
12/2019 movie making interschool third
How do you intend spending your time after completing class XII Final exams and before joining college ?: After the commencement of board exams, I am very much forward in seeking hobby classes. I along my friends are planning to go on trip to refresh ourselves. I will also prepare for the upcoming entrance examinations.
Why do you wish to join TMI?: I want to join TMI because I think that the institution will build a gentleman out of me, it would build and strengthen the base for my career
What are your hobbies?: i like to play badminton, cricket and volleyball. I like sketching, playing guitar and photography.
What are your strengths?: I am punctual, goal oriented and optimistic. I remain cool minded even under pressurised conditions and in hard times.
What are your weaknesses?: I am less of an extrovert and sometimes finds it difficult to make friends who does not share a common interest.
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 not uploaded

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

Signature of Candidate



Date ________________

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