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: DNS2052166 Name: Babariya Kapish Bharatbhai
  Address: c-503 Ramedshwram Campus pal adajan
Telephone No.: 09879066117 Mobile no: 9879066117
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 310346183
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052166 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: DNS2052166
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Babariya Kapish Bharatbhai
Mother's Name: Alpaben
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Jun 2002 Nationality: Indian
Place of Birth: Surat Personal Identification Mark: Birth mark on right hand
Blood Group: B + Address for Communication: c-503 Ramedshwram Campus pal adajan
State: Gujarat Country: India
Pin: 395009 City/District: surat
Mobile no: 9879066117 Telephone No. with STD code: 09879066117
Aadhar Card No:794662601368 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Bharatbhai Relationship with candidate: Father
Parents Date of Birth: 28 May 1973 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: c-503 Ramedshwram Campus pal adajan
Country: India State: Gujarat
City/District: surat Pin: 395009
Tel: 9925066117 Mobile no.: 9825266117
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Gujarat Board: Gujarat
School: Presidency School School: citizens school
City: surat City: surat
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Centre code:
  Address of School/College: Near Mangal Tirth Apt Honey Park Road,
  Pin: 395009
  Contact Nos: 7046692497
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 150
Chemistry 150
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
03/2017 roll ball state frist
03/2017 intermidiate state A
03/2016 elementry state A
02/2016 all india science maths club national A
Vocational and Training Courses undertaken:
05/2014 ncc camp 3 days
05/2015 ncc camp 3 days
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have joined the gym for a good physique. I am currently doing freelancing. I am trying to understand about ships and submarines from google.
Why do you wish to join TMI?: I want to join TMI because as I see my needs will be definitely fulfilled from TMI.TMI offers me great world exposure and professional study.
What are your hobbies?: Swimming,Running,Drawing,Photography,Roller skating,Jogging
What are your strengths?: Honesty,Focused,Logical
What are your weaknesses?: Short tempered,Not a people friendly
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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