Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
(New Admission Diploma in Nautical Science )


  Dossier ID: DNS2175198
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Nishendu Mishr
Mother's Name: Rekha Mishra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jun 2003 Nationality: Indian
Place of Birth: Pratapgarh Personal Identification Mark: Mark on forhead
Blood Group: B + Address for Communication: Madhuban vihar colony Umarpur Neewa Prayagraj
State: Uttar Pradesh Country: India
Pin: 211011 City/District: Prayagraj
Mobile no: 7703046810 Telephone No. with STD code: 7703046810
Aadhar Card No:843713799188 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Umakant Mishra Relationship with candidate: Father
Parents Date of Birth: 15 Apr 1973 Parent's/Guardian's Occupation/Designation: Defence
Office Address:
Address: Madhuban vihar colony Umarpur neewa prayagraj
Country: India State: Uttar Pradesh
City/District: Prayagraj Pin: 211011
Tel: 07703046810 Mobile no.: 7703046810
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Army public school clement town School: Army public school clement town
City: Dehradun City: Dehradun
English %: 92 Board Roll No./Seat No.: 25603778
Aggregate Percentage: 94 School/College Code: 84003
  Centre code: 8024
  Address of School/College: Army public school clemeny town dehradun
  Pin: 248002
  Contact Nos:
  Aggregate Percentage: 95
Details of Marks Secured in (10+2) Examination -

Physics 100 95 95
Chemistry 100 95 95
Mathematics 100 95 95
Physics, Chemistry & Mathematics combined Percentage: 95
English 100 95 95
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
04/2018 Boxing School level Leisure purpose
11/2019 Tug of war School level on sports day 2nd position
12/2019 Essay writing competition School level 1st position
How do you intend spending your time after completing class XII Final exams and before joining college ?: After 12th I started preparing for competetive exams such as jee mains and nda. I qualified nda and gave ssb also but was conference out , I got a 89 percentile in jee mains. My interest was always there in merchant navy because i like adventurous life , so I decided to give Imucet and join the prestigious Tolani maritime institute and get its sponsorship and progress in my life.
Why do you wish to join TMI?: Because TMI is a suitable college to pursue maritime courses and I think I can progress here.
What are your hobbies?: Plantation, singing songs , playing cricket , reading books.
What are your strengths?: Helpful, hard working, If I think something has not been sone as expected , I do it more better next time.
What are your weaknesses?: Cannot deny help to someone
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

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

Signature of Candidate



Date ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.