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: DNS2052238 Name: Nitesh kumar
  Address: Goraur,Nalanda,bihar Rajgir, Nalanda,Bihar
Telephone No.: Mobile no: 9829706750
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 310609713
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052238 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: DNS2052238
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Nitesh kumar
Mother's Name: MANJU KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Oct 2002 Nationality: Indian
Place of Birth: Rajgir Personal Identification Mark: Cut off Mark on right hand ring finger
Blood Group: AB + Address for Communication: Goraur,Nalanda,bihar Rajgir, Nalanda,Bihar
State: Bihar Country: India
Pin: 803116 City/District: Nalanda
Mobile no: 9829706750 Telephone No. with STD code:
Aadhar Card No:467257754342 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Bhushan Prasad Relationship with candidate: Father
Parents Date of Birth: 12 Feb 1976 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: Goraur, Nalanda,bihar Rajgir, Nalanda, bihar
Country: India State: Bihar
City/District: Nalanda Pin: 803116
Tel: Mobile no.: 9431813383
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: High School laranpur Nalanda School: High school
City: Laranpur Nalanda City: Gaya
English %: 63 Board Roll No./Seat No.: 20010037
Aggregate Percentage: 66 School/College Code: 21182
  Centre code: 21182
  Address of School/College: Khudai sarbahada khijarasary gaya
  Pin: 804135
  Contact Nos: 9829706750
  Aggregate Percentage: 73
Details of Marks Secured in (10+2) Examination -

Physics 100 71 71
Chemistry 100 62 62
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 64.67
English 100 80 80
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: At home for preparation imu vet
Why do you wish to join TMI?: Because it was good institute in merchant Navy
What are your hobbies?: Playing chess
What are your strengths?: Interested in computer science well known all about it
What are your weaknesses?: More talking
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
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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