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: DNS2172473 Name: Anish Chhetri
  Address: Satbhaiya Geni Naxalbari
Telephone No.: Mobile no: 7001486672
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 424851944
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172473 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: DNS2172473
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Anish Chhetri
Mother's Name: Seema Chhetri
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Oct 2001 Nationality: INDIAN
Place of Birth: SILIGURI Personal Identification Mark: Mole beside the right eye
Blood Group: AB + Address for Communication: Satbhaiya Geni Naxalbari
State: West Bengal Country: India
Pin: 734429 City/District: Darjeeling
Mobile no: 7001486672 Telephone No. with STD code:
Aadhar Card No:819783987753 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sekhar Chhetri Relationship with candidate: Father
Parents Date of Birth: 02 Apr 1966 Parent's/Guardian's Occupation/Designation: Government Service
Office Address:
Address: Satbhaiya Geni Naxalbari
Country: India State: West Bengal
City/District: Darjeeling Pin: 734429
Tel: Mobile no.: 9475764336
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: CBSE
School: Good Shepherd School School: Techno India Group Public School
City: Darjeeling City: Darjeeling
English %: 76 Board Roll No./Seat No.: 12631790
Aggregate Percentage: 70 School/College Code: 15735
  Centre code: 1742
  Address of School/College: Satbhaiya Geni Naxalbari
  Pin: 734429
  Contact Nos: 7001486672
  Aggregate Percentage: 66
Details of Marks Secured in (10+2) Examination -

Physics 100 55 55
Chemistry 100 51 51
Mathematics 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 54.67
English 100 91 91
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
08/2014 Quiz Inter House Third
01/2016 Football Inter House Third
How do you intend spending your time after completing class XII Final exams and before joining college ?: After the exams are over I intend to work on my mental strength, discover new places, trek to the nearby Singalila Ridge, improve my overall strength and prepare for IMUCET.
Why do you wish to join TMI?: After gaining the knowledge about Tolani Maritime Institute thought the reviews and interviews of students of TMI in youtube and Google. I found out this campus to be the Ideal one for me.
What are your hobbies?: Riding Bikes ,exploring the Nature , playing the guitar, playing and watching football
What are your strengths?: Patience, consistency, helpfulness and good problem solving skills
What are your weaknesses?: Extremely helpful nature and not taking things seriously
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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