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: DNS2175349 Name: Aman Kumar
  Address: Gahmar Near hanuman chabutra
Telephone No.: Mobile no: 9369335369
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 426246752
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175349 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: DNS2175349
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aman Kumar
Mother's Name: Monorma devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Apr 2003 Nationality: INDIAN
Place of Birth: Gahmar Personal Identification Mark: Black dot on my right cheek
Blood Group: AB + Address for Communication: Gahmar Near hanuman chabutra
State: Uttar Pradesh Country: India
Pin: 232327 City/District: Gazipur
Mobile no: 9369335369 Telephone No. with STD code:
Aadhar Card No:687736732915 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Upendra Singh Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1973 Parent's/Guardian's Occupation/Designation: Retired Army Nk
Office Address:
Address: Gahmar Near hanuman chabutra
Country: India State: Uttar Pradesh
City/District: Gazipur Pin: 232327
Tel: Mobile no.: 9451373618
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Other Board: CBSE
School: Army public school School: Army public school
City: Dagshai City: Dagshai
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Army public school, dagshai, Solan, Himachal Pradesh
  Pin: 173210
  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
09/2018 international Olympiad For Social science International 2
10/2017 International Olympiad for Science International 7
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to spend that time by exploring more about the merchant navy and its related things that I have not explored yet
Why do you wish to join TMI?: Because I want to join merchant navy and TMI is best institution for it and also have better facilities . It is also the no.1 institution for merchant navy and provide better placement. 1 insr
What are your hobbies?: My hobbies are to play racquet games such as badminton and squash and read or learn about amazing facts about the world.
What are your strengths?: My true strength is my father who has been fully determined for me to make me a better person and worked day and night only for me that I should get everything that I needed.
What are your weaknesses?: My weakness is that I have not very good hand writing.
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 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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