Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
(New Admission Diploma in Nautical Science 2021)

Application Summary: Diploma in Nautical Science
Dossier ID: DNS2171992 Name: Dristi Ghimiray
  Address: Fancy Market,top floor N.B.Singh Road
Telephone No.: Mobile no: 7908629285
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: 424639479
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2171992 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: DNS2171992
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Dristi Ghimiray
Mother's Name: Radha Ghimiray
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jan 2003 Nationality: Indian
Place of Birth: Darjeeling Personal Identification Mark: Red mole on left ankle
Blood Group: A + Address for Communication: Fancy Market,top floor N.B.Singh Road
State: West Bengal Country: India
Pin: 734101 City/District: Darjeeling
Mobile no: 7908629285 Telephone No. with STD code:
Aadhar Card No:937226675536 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Dipesh Ghimiray Relationship with candidate: Father
Parents Date of Birth: 17 Feb 1971 Parent's/Guardian's Occupation/Designation: Businessman
Office Address:
Address: Fancy Market N.B.Singh Road Darjeeling bazar
Country: India State: West Bengal
City/District: Darjeeling Pin: 734101
Tel: Mobile no.: 8927558265
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: Loreto Convent School: Techno India Group Public School
City: Darjeeling City: Siliguri
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 96 School/College Code:
  Centre code:
  Address of School/College: Janta, Ward 10, SIT Campus, Siliguri.
  Pin: 734009
  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
06/2018 Dance fest Inter school First
How do you intend spending your time after completing class XII Final exams and before joining college ?: After class XII final exams I intend to go out on treks and excursions with my best friends to Sandakphu , Phalut and Tigerhill which are beautiful and isolated locations in Darjeeling.I also want to join swimming classes as I have not had the opportunity to learn swimming yet. Moreover, on a daily basis, I intend to focus on my physical and mental fitness by performing exercises, yoga and spending quality time with my family and friends along side preparing for IMUCET.
Why do you wish to join TMI?: I have done a lot of research regarding the various institutes for the purpose of joining Merchant Navy. I have watched videos and also had a conversation with a few alumni of TMI and found TMI to be one of the best institutes for this purpose. I have also attended the webinars and I feel that this institute is the most apt for me.
What are your hobbies?: Dancing, listening to music and eating regional food.
What are your strengths?: I am well spoken, disciplined, determined and ambitious. I am constantly open to learning new things, meeting new people and working as a team.
What are your weaknesses?: I am too detail oriented, and always self critical.
How do you intend to meet the expenses of this program?: 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 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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