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: DNS2175089 Name: Himanshu Pandey
  Address: Block-C/208 Arya Colony Bolani Road, Barbil
Telephone No.: Mobile no: 8917224607
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: 426117909
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175089 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: DNS2175089
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Himanshu Pandey
Mother's Name: Krishna Pandey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Nov 2002 Nationality: Indian
Place of Birth: Sultanpur Personal Identification Mark: A mole a the right side of the back
Blood Group: O + Address for Communication: Block-C/208 Arya Colony Bolani Road, Barbil
State: Orissa Country: India
Pin: 758035 City/District: Keonjhar
Mobile no: 8917224607 Telephone No. with STD code:
Aadhar Card No:595784994758 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ajay Kumar Pandey Relationship with candidate: Father
Parents Date of Birth: 15 May 1973 Parent's/Guardian's Occupation/Designation: Service at Aisco
Office Address:
Address: Arya iron and steel company Matkambeda Bolani Road Barbil
Country: India State: Orissa
City/District: Keonjhar Pin: 758036
Tel: Mobile no.: 8917224607
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: St Marys School School: St. Marys School
City: Barbil City: Barbil
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: Near OMC Chowk, Station road, Barbil
  Pin: 758035
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics, Chemistry & Mathematics combined Percentage:
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: If my admission is finalized in TMI, then as it would be a great relaxation for me and my well wishers. I would like to go on tour, read as many books as possible so that I could improve my skills and be a perfect student for TMI so that I would continue to keep up the name and fame of the university.
Why do you wish to join TMI?: As TMI is one of the greatest and well known University as it produces standard quality of cadets and engineers every year. It has standard quality faculty members and huge infrastructure.
What are your hobbies?: Badminton, reading books based on Human psychology and Spirituality.
What are your strengths?: My greatest strength is I can get easily comfortable with the place people and Situation and can make much stronger bond in very less period of time
What are your weaknesses?: My greatest weakness is I have stage fear
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 ________________

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