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: DNS2173696 Name: anmol jain
  Address: 334 , suncity , near sun heritage jagdalpur , chhatisgarh
Telephone No.: Mobile no: 8821054572
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425426247
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173696 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: DNS2173696
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: anmol jain
Mother's Name: shweta jain
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Oct 2002 Nationality: Indian
Place of Birth: jagdalpur Personal Identification Mark: two moles on left hand
Blood Group: B + Address for Communication: 334 , suncity , near sun heritage jagdalpur , chhatisgarh
State: Chattisgarh Country: India
Pin: 494001 City/District: jagdapur
Mobile no: 8821054572 Telephone No. with STD code:
Aadhar Card No:990646020761 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: ajay jain Relationship with candidate: father
Parents Date of Birth: 01 Jan 1972 Parent's/Guardian's Occupation/Designation: finance manager
Office Address:
Address: mahavir stores , main road jagdalpur , chhatisgarh
Country: India State: Chattisgarh
City/District: jagdapur Pin: 494001
Tel: Mobile no.: 9407774530
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: nirmal higher secondary school School: nirmal higher secondary school
City: jagdapur City: jagdapur
English %: 87 Board Roll No./Seat No.: 12647987
Aggregate Percentage: 87 School/College Code: 15184
  Centre code: 1803
  Address of School/College: lalbhag jagdalpur , chhatisgarh
  Pin: 494001
  Contact Nos: 07782228299
  Aggregate Percentage: 82
Details of Marks Secured in (10+2) Examination -

Physics 100 76 76
Chemistry 100 79 79
Mathematics 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 79.33
English 100 86 86
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
09/2020 cricket state level competition second bronze
01/2019 tableau inter school first position
11/2020 debate and just a minute school level first position
10/2020 long jump school level first position
How do you intend spending your time after completing class XII Final exams and before joining college ?: I wish to learn the art of handling people. Also I wish to Interact with seniors and captains who are currently in Merachant navy who can provide me with more information About this field so that I could be more ready to be an asset to the Institute I will be joining. I also want to work on my physical fitness.
Why do you wish to join TMI?: TMI is the leading Institute in the world of merchant Navy. The infrastructure and experienced staff and faculty are the talk of the town. TMI has given so many talented and deserving cadets to various company and hold it position at number one. Therefore I want to become part of this prestigious Institute And contribute to this family in anyway possible. Also I read in my school library that, IF YOU WANT TO BE PART OF SOMETHING , BE THE PART OF THE BEST. so here I am.
What are your hobbies?: I am an athlete and I like to spend my time on field - practising for my game or working on my physical fitness. Also I tend to read self help books whenever possible
What are your strengths?: Handling people and Effective communication .
What are your weaknesses?: Single minded focus .
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 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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