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: DNS2172397 Name: VAMSHIK C SHETTY
  Address: Girija sadana ,mandedi Innanje post Kaup taluk
Telephone No.: 0820 Mobile no: 9964960682
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431678969
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172397 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: DNS2172397
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: VAMSHIK C SHETTY
Mother's Name: RESHMA C SHETTY
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jul 2003 Nationality: INDIAN
Place of Birth: Karnataka Personal Identification Mark: Black dot on left shoulder
Blood Group: A + Address for Communication: Girija sadana ,mandedi Innanje post Kaup taluk
State: Karnataka Country: India
Pin: 576122 City/District: Udupi
Mobile no: 9964960682 Telephone No. with STD code: 0820
Aadhar Card No:940393071692 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Chandrahas shetty Relationship with candidate: Father
Parents Date of Birth: 01 Apr 1996 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Girija caterers, panglaa Pangala Kaup taluk
Country: India State: Karnataka
City/District: Udupi Pin: 576101
Tel: 0820 Mobile no.: 9964960682
Fax: 0820 Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: Dandathirtha English Medium High School School: Vidyodaya Pu college
City: Udupi City: Udupi
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: Vidyodaya Pu college udupi , vadhiraja road
  Pin: 576101
  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
01/2018 Volleyball tournament District level 1
01/2018 Quiz competition District level 1st place
11/2019 Volleyball tournament District level 1
09/2019 Swimming competition inter college 2nd palce
Vocational and Training Courses undertaken:
08/2018 NCC training 2 years
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for IMU CET , and learning basis about My upcoming courses , taking advice from seniors Who have completed there course and fitness
Why do you wish to join TMI?: Tmi is one of the best collage and many companies Comes to tmi to recruit cadets and tmi also has good Campus
What are your hobbies?: Exercise and photography
What are your strengths?: I never give up, communication skill
What are your weaknesses?: inability to share responsibility
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 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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