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: DNS2174124 Name: SHUBHAM SINGH
  Address: 205/BUILDING-13,JEEVAN lifestyle BADLAPUR EAST
Telephone No.: Mobile no: 9867597345
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426109524
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174124 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: DNS2174124
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: SHUBHAM SINGH
Mother's Name: SEEMA SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Sep 2002 Nationality: INDIAN
Place of Birth: JHARKHAND Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: B + Address for Communication: 205/BUILDING-13,JEEVAN lifestyle BADLAPUR EAST
State: Maharashtra Country: India
Pin: 421503 City/District: BADLAPUR
Mobile no: 9867597345 Telephone No. with STD code:
Aadhar Card No:853117454250 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: ARUN KUMAR SINGH Relationship with candidate: FATHER
Parents Date of Birth: 02 Nov 1971 Parent's/Guardian's Occupation/Designation: EX SERVICEMEN
Office Address:
Address: LBS College Indian maritime University - Mumbai Post Campus Hey Bunder Road Sewaree
Country: India State: Maharashtra
City/District: Mumbai Pin: 400033
Tel: Mobile no.: 6301728770
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Navy children school School: Kendriya vidyalaya No.1
City: mumbai City: Mumbai
English %: 75 Board Roll No./Seat No.: 15608959
Aggregate Percentage: 63 School/College Code: 34006
  Centre code: 3116
  Address of School/College: Colaba,Mumbai-400005
  Pin: 400005
  Contact Nos:
  Aggregate Percentage: 69
Details of Marks Secured in (10+2) Examination -

Physics 100 63 63
Chemistry 100 69 69
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 64
English 100 80 80
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing class XII I used to study for my entrance exams for colleges and at other times I used to play basketball and video games.
Why do you wish to join TMI?: TMI is among the best colleges for the maritime industry in India and many big companies also come to give sponsorship.
What are your hobbies?: My hobby is to play basketball.
What are your strengths?: hardworking,self confidence
What are your weaknesses?: multitasking
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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