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: DNS2052058 Name: Devonshu Gupta
  Address: 563/478, Shahganj
Telephone No.: Mobile no: 9453460359
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: 310142846
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052058 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: DNS2052058
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Devonshu Gupta
Mother's Name: Rachana Gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Dec 2001 Nationality: Indian
Place of Birth: Faizabad Personal Identification Mark: Mole on Chest
Blood Group: O + Address for Communication: 563/478, Shahganj
State: Uttar Pradesh Country: India
Pin: 211003 City/District: Prayagraj
Mobile no: 9453460359 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajesh Kumar Gupta Relationship with candidate: Father
Parents Date of Birth: 30 Aug 1965 Parent's/Guardian's Occupation/Designation: Self Employed
Office Address:
Address: 563/478, Shahganj
Country: India State: Uttar Pradesh
City/District: Prayagraj Pin: 211003
Tel: Mobile no.: 9415728281
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: ISCE
School: Boys High School School: Boys High School
City: Prayagraj City: Prayagraj
English %: 72 Board Roll No./Seat No.: 6711168
Aggregate Percentage: 76 School/College Code: UP009
  Centre code: 2201606
  Address of School/College: 4, P.D. Tandon Road Post Box. No. 4 Prayagraj
  Pin: 211001
  Contact Nos:
  Aggregate Percentage: 65
Details of Marks Secured in (10+2) Examination -

Physics 100 77 77
Chemistry 100 60 60
Mathematics 100 43 43
Physics, Chemistry & Mathematics combined Percentage: 60
English 100 75 75
IMU CET Application Number: CET20U72660  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Prepration for Merchany Navy Exam
Why do you wish to join TMI?: Other than being prime institute for merchant navy courses it also provide excellent education and job opportunities for those who see their carrer on ships.
What are your hobbies?: Travelling
What are your strengths?: Versatility
What are your weaknesses?: Easily trust other peoples
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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