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: DNS2174558 Name: Uday
  Address: V.P.O. Rainsari, District Una Himachal Pradesh
Telephone No.: Mobile no: 8580866753
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: 425950455
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174558 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: DNS2174558
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Uday
Mother's Name: Renu Bala
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Jun 2004 Nationality: Indian
Place of Birth: Una Personal Identification Mark: Mole on right leg
Blood Group: B + Address for Communication: V.P.O. Rainsari, District Una Himachal Pradesh
State: Himachal Pradesh Country: India
Pin: 174303 City/District: Una
Mobile no: 8580866753 Telephone No. with STD code:
Aadhar Card No:491736557956 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Raj Kumar Relationship with candidate: Father
Parents Date of Birth: 08 Jul 1970 Parent's/Guardian's Occupation/Designation: Teaching
Office Address:
Address: District Una Himachal Pradesh
Country: India State: Himachal Pradesh
City/District: Una Pin: 174303
Tel: Mobile no.: 9816182593
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Himachal Pradesh
School: Rudra international senior secondary school School: Government senior secondary school
City: Una City: Una
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 66 School/College Code:
  Centre code:
  Address of School/College: V.P.O. Takka, District Una, Himachal Pradesh
  Pin: 174303
  Contact Nos:
  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
16/07/2014 I was declared the winner of inspire award in 2014 and got a check of rupees 5000 from Government Of India I had also received a trophy and a certificate with it district level runner up
How do you intend spending your time after completing class XII Final exams and before joining college ?: By reading NCERT books, learning new things related to shipping etc...
Why do you wish to join TMI?: As per my research, TMI is the one of the topmost institute for joining merchant navy and that is why i am very clear to be hear because personally many people have recommended me and i know that its a clean institute and a straight institute.
What are your hobbies?: Listening music, do cardio exercises, do weightlifting, running daily etc..
What are your strengths?: leadership, communication skills, discipline, dedication.
What are your weaknesses?: sometimes lack of confidence and stammering a little .
How do you intend to meet the expenses of this program?: Own Resources
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 ________________

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