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: DNS2176467 Name: DEV CHAUDHARY
  Address: 3/227 state bank colony Marris road
Telephone No.: Mobile no: 8279381195
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427173690
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176467 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: DNS2176467
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: DEV CHAUDHARY
Mother's Name: Manju Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 May 2003 Nationality: INDIAN
Place of Birth: ALIGARH Personal Identification Mark: cut on left eye borrow
Blood Group: A + Address for Communication: 3/227 state bank colony Marris road
State: Uttar Pradesh Country: India
Pin: 202001 City/District: aligarh
Mobile no: 8279381195 Telephone No. with STD code:
Aadhar Card No:756199164660 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Anil Chaudhary Relationship with candidate: Father
Parents Date of Birth: 28 Aug 1972 Parent's/Guardian's Occupation/Designation: Buisness
Office Address:
Address: A-15 bhagwati palace samad road center point
Country: India State: Uttar Pradesh
City/District: aligarh Pin: 202001
Tel: Mobile no.: 8535003000
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Uttar Pradesh Board: CBSE
School: Raja tau inter college School: Shantiniketan world school
City: aligarh City: aligarh
English %: 79 Board Roll No./Seat No.: 21616730
Aggregate Percentage: 76 School/College Code: 60667
  Centre code: 6041
  Address of School/College: panchsheel colony,near iimt koil,aligarh
  Pin: 202002
  Contact Nos:
  Aggregate Percentage: 67
Details of Marks Secured in (10+2) Examination -

Physics 100 55 55
Chemistry 100 59 59
Mathematics 100 43 43
Physics, Chemistry & Mathematics combined Percentage: 52.33
English 100 85 85
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: My intension after completing the schooling of XII standard give a big relaxation relax for a while and then eventually,to take rest and work upon the scenarios of building a career and me after completing the class XII aim at trying to take on many courses to make the next step of my life to concentrate on the specific field of studies in order to make my future bright.
Why do you wish to join TMI?: because it is the best college which provides sponsorship for DNS through different shipping companies.
What are your hobbies?: to watch science fiction movies
What are your strengths?: My family and friends are my strength.
What are your weaknesses?: Taking too many risks
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 ________________

Print Summary and Application Form