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: DNS2052113 Name: Rajdeep Mahto
  Address: Vill-manatu P.S-kanke,P.O-kamre Ranchi 835222
Telephone No.: Mobile no: 6203624189
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: 310213144
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052113 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: DNS2052113
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Rajdeep Mahto
Mother's Name: Asha Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Dec 2002 Nationality: Indian
Place of Birth: RANCHI Personal Identification Mark: MOLE MARK ON NECK
Blood Group: A + Address for Communication: Vill-manatu P.S-kanke,P.O-kamre Ranchi 835222
State: Jharkhand Country: India
Pin: 835222 City/District: Ranchi
Mobile no: 6203624189 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mahendra Mahto Relationship with candidate: Father
Parents Date of Birth: 18 Oct 1967 Parent's/Guardian's Occupation/Designation: Agriculture
Office Address:
Address: Vill-manatu P.S-kanke,P.O-kamre Ranchi
Country: India State: Jharkhand
City/District: Ranchi Pin: 835222
Tel: Mobile no.: 9304061200
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: CBSE
School: St Francis School School: Nirja sahay dav public school
City: Ranchi City: Ranchi
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: Goshala complex,kanke, jharkhand
  Pin: 834006
  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
12/2016 Cricket Inter school tournament Winner
12/2015 Cricket Inter school tournament Runner
01/2019 TechnoZeal Exploring young minds Inter school Runner
11/2013 Fevicol science project Challenge Inter school Runner
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learn sports like badminton ,swimming etc.
Why do you wish to join TMI?: It will provide best learning opportunities
What are your hobbies?: Listening music, spending time with siblings
What are your strengths?: Strong will power, courageous and can work for long flexy hours
What are your weaknesses?: No weakness
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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