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: DNS2173849 Name: Abhishek bhadauria
  Address: 124 Aryanagar Auraiya
Telephone No.: Mobile no: 9548309860
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: 425458719
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173849 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: DNS2173849
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Abhishek bhadauria
Mother's Name: Bichitra bhadauriya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Oct 2002 Nationality: Indian
Place of Birth: Auraiya Personal Identification Mark: Mole on right hand
Blood Group: A + Address for Communication: 124 Aryanagar Auraiya
State: Uttar Pradesh Country: India
Pin: 206122 City/District: Auraiya
Mobile no: 9548309860 Telephone No. with STD code:
Aadhar Card No:447682607738 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shivveer singh bhadauriya Relationship with candidate: Father
Parents Date of Birth: 08 Jan 1966 Parent's/Guardian's Occupation/Designation: Defence
Office Address:
Address: Arya nagar, auraiya Infront of head post office
Country: India State: Uttar Pradesh
City/District: Auraiya Pin: 206122
Tel: 08439136500 Mobile no.: 8439136500
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Gyan sthali academy School: Gyan sthali academy
City: Auraiya City: Auraiya
English %: 81 Board Roll No./Seat No.: 23602432
Aggregate Percentage: 75 School/College Code: 70122
  Centre code: 7010
  Address of School/College: Behind kali mata mandir, auraiya
  Pin: 206122
  Contact Nos: 09548309860
  Aggregate Percentage: 70
Details of Marks Secured in (10+2) Examination -

Physics 100 58 58
Chemistry 100 70 70
Mathematics 100 67 67
Physics, Chemistry & Mathematics combined Percentage: 65
English 100 82 82
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I Intend to spend my time by reading books and make it my habit
Why do you wish to join TMI?: Sir, your Institute is one of the most reputed Institute of maritime world. Your Institute placement and infrastructure is best and may reputed companies are come to visit
What are your hobbies?: Listening songs, playing cricket
What are your strengths?: Hardwork, ambitious
What are your weaknesses?: Overthinking
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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