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: DNS2174117 Name: Aditya Chandrakant Raut
  Address: silver dream-a Chougule nagar Peth Vadgaon
Telephone No.: Mobile no: 9665277902
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: 425609569
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174117 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: DNS2174117
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aditya Chandrakant Raut
Mother's Name: Bhakti Chandrakant Raut
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Nov 2002 Nationality: Indian
Place of Birth: Warnanagar Personal Identification Mark: Birth Mark on Left Side of chest
Blood Group: AB + Address for Communication: silver dream-a Chougule nagar Peth Vadgaon
State: Maharashtra Country: India
Pin: 416112 City/District: Kolhapur
Mobile no: 9665277902 Telephone No. with STD code:
Aadhar Card No:810376692582 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Bhakti Chandrakant Raut Relationship with candidate: Mother
Parents Date of Birth: 17 Feb 1977 Parent's/Guardian's Occupation/Designation: Government Service
Office Address:
Address: LIC Office-949 Branch Near CBS,Shahupuri Kolhapur
Country: India State: Maharashtra
City/District: Kolhapur Pin: 416112
Tel: 09960348169 Mobile no.: 9960348169
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Dr.Cyrus Poonawala International School School: Balwantrao Yadav Junior College
City: Kolhapur City: Kolapur
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Centre code:
  Address of School/College: Latawade Road,Peth Vadgaon
  Pin: 416112
  Contact Nos: 02302471199
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
11/2019 Football District Level 2nd position
11/2017 PowerPoint Presentation Competition District Level Participation
Vocational and Training Courses undertaken:
03/2021 Preparatory Course for SPI exam 15 days
05/2019 Course for NDA Exam 1 year
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to invest my time in preparing for IMUCET and developing my personality .I would also give time to the hobbies that I have not given due to my board exams .Also I will learn to drive.
Why do you wish to join TMI?: I wish to join TMI as TMI is a highly reputed institute as far as career in merchant Navy is concerned. TMI has the best placement record .Also, I follow some passout cadets of TMI who I think have a admirable personality,so,one of the vital reason to join TMI is for personality development and to emerge as a leader.
What are your hobbies?: Reading,exploring,travelling,exercise,swimming,football,to know about gulf countries
What are your strengths?: My Family,Friends,good social adaptability,cooperation,sensibility, organising ability
What are your weaknesses?: Overthinking,frustration,disability to handle failure,aggression
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 not uploaded

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

Signature of Candidate



Date ________________

Print Summary and Application Form