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: DNS2172630 Name: Rajat Sihag
  Address: Village-Roranwali Hanumangarh Junction
Telephone No.: 9571284549 Mobile no: 9571284549
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425241946
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172630 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: DNS2172630
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Rajat Sihag
Mother's Name: Alka Sihag
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Mar 2003 Nationality: Indian
Place of Birth: Hanumangarh Personal Identification Mark: No mark
Blood Group: AB + Address for Communication: Village-Roranwali Hanumangarh Junction
State: Rajasthan Country: India
Pin: 335512 City/District: Hanumangarh Junction
Mobile no: 9571284549 Telephone No. with STD code: 9571284549
Aadhar Card No:793196440960 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rahul Sihag Relationship with candidate: Father
Parents Date of Birth: 10 Jul 1982 Parent's/Guardian's Occupation/Designation: Agriculture
Office Address:
Address: Village-Roranwali Hanumangarh Junction
Country: India State: Rajasthan
City/District: Hanumangarh Junction Pin: 335512
Tel: 09571284549 Mobile no.: 7023200826
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: St.Xaviers School School: St.Xaviers School
City: Nainital City: Nainital
English %: 77 Board Roll No./Seat No.: 25621335
Aggregate Percentage: 77 School/College Code: 81128
  Centre code: 81012
  Address of School/College: Nainital, Uttarakhand
  Pin: 263002
  Contact Nos:
  Aggregate Percentage: 81
Details of Marks Secured in (10+2) Examination -

Physics 100 73 73
Chemistry 100 78 78
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 71.33
English 100 98 98
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I wanted to get prepared for IMUCET.
Why do you wish to join TMI?: Because your placement records are excellent.
What are your hobbies?: Making drawings.
What are your strengths?: I am hardworking.
What are your weaknesses?: Nothing.
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 not uploaded Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________

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