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: DNS2174102 Name: Naik Ayush Raju
  Address: B/104, Mere Sai Anand CHS, Near Shivsena Shaka Kajuwadi, Thane
Telephone No.: Mobile no: 8080800908
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425616618
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174102 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: DNS2174102
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Naik Ayush Raju
Mother's Name: Suvarna
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Sep 2001 Nationality: Indian
Place of Birth: Thane Personal Identification Mark: Mark on right hand
Blood Group: O + Address for Communication: B/104, Mere Sai Anand CHS, Near Shivsena Shaka Kajuwadi, Thane
State: Maharashtra Country: India
Pin: 400604 City/District: Thane
Mobile no: 8080800908 Telephone No. with STD code:
Aadhar Card No:407575723266 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Raju Narayan Naik Relationship with candidate: Father
Parents Date of Birth: 05 Dec 1971 Parent's/Guardian's Occupation/Designation: Private Service
Office Address:
Address: Supermax Personal Care, Teen Hath Naka Thane
Country: India State: Maharashtra
City/District: Thane Pin: 400604
Tel: Mobile no.: 9821836922
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: S.E.S. High School School: St. Xaviers Jr. College
City: Thane City: Thane
English %: 72 Board Roll No./Seat No.: M004153
Aggregate Percentage: 76 School/College Code: 1614066
  Centre code: 1031
  Address of School/College: Chitalsar, Manpada, Thane
  Pin: 400607
  Contact Nos:
  Aggregate Percentage: 75
Details of Marks Secured in (10+2) Examination -

Physics 100 67 67
Chemistry 100 60 60
Mathematics 100 90 90
Physics, Chemistry & Mathematics combined Percentage: 72.33
English 100 71 71
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Internet surfing which will help my knowledge to grow through a wider perspective. Learn to cook some dishes, it always helps. Read books of multi genres. Follow a particular routine starting off with healthy exercise to revive good energy and get proper rest. Hoping to learn a new language to ease the mind as well.
Why do you wish to join TMI?: Tmi has been very successful in holding the reputation of providing young aspirants with the necessary training. The institution is closely associated with maritime industry which is what i am looking forward to train myself for. It lays a trustworthy foundation to give india its world class seafarers. The quality of education is not only reliable but best suited for focused minds.
What are your hobbies?: I love Listening to music, doing workout and Travelling.
What are your strengths?: I am habitual to always have my goals planned out.I am inclined to do more of what i like which never gets tiring.I learn from my mistakes.I realise the importance of discipline and required determination Quite interested in maths.
What are your weaknesses?: I take time to make decisions. I analyse each and every thing, but I take time. There are situations when people are supposed to make decisions quickly, I do that. But most of the times, I expect that if I am supposed to make a decision I should take sometime and think about it. I have identified my weaknesses and I am working on it.
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate 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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