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: DNS2176586 Name: Mauryan Sharma
  Address: F-503 Unique Tower Pratap Nagar
Telephone No.: Mobile no: 9992745202
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 427319808
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176586 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: DNS2176586
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Mauryan Sharma
Mother's Name: Rani Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jun 2003 Nationality: Indian
Place of Birth: Jaipur Personal Identification Mark: Left hand right hand right leg
Blood Group: B + Address for Communication: F-503 Unique Tower Pratap Nagar
State: Rajasthan Country: India
Pin: 302017 City/District: Jaipur
Mobile no: 9992745202 Telephone No. with STD code:
Aadhar Card No:403266972077 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Dr Jetendra Sharma Relationship with candidate: Father
Parents Date of Birth: 12 Jul 1969 Parent's/Guardian's Occupation/Designation: Homeopathic Doctor
Office Address:
Address: F-503 Unique Tower Pratap Nagar
Country: India State: Rajasthan
City/District: Jaipur Pin: 302017
Tel: Mobile no.: 9929008000
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Maheshwari Public School School: Maheshwari Public School
City: Jaipur City: Jipur
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code: Maheshwari Public School
  Centre code:
  Address of School/College: Sector 4, Jawahar Nagar, Jaipur
  Pin: 302004
  Contact Nos: 9929745202
  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
04/2011 Skating States Second
12/2019 NCC Camp English Debate competition NCC Unit First
11/2016 Badminton District First
04/2015 English Declamation Intra School First
Vocational and Training Courses undertaken:
03/2014 Skating Training 6 years
04/2013 Cricket Australia Camp 1 year
12/2018 NCC CATC Camp 10 days
How do you intend spending your time after completing class XII Final exams and before joining college ?: Will look up to get more knowledge about the merchant navy and its technicalities and about various ships of it.I will be working on my physique I will be working more on my speaking skills and my personality development
Why do you wish to join TMI?: This university has an excellent reputation for the quality of its teaching and the excellent behaviour of its pupil and its fascinating record of success of its students.I would love to become part of such a Tolani Maritime University and add my own skills and experience to further strengthen the high-quality experience that this university offers its students.
What are your hobbies?: Volunteering, charity work , Swimming,Travelling
What are your strengths?: Can easily get out of my comfort zone , leadership , focused Too detail oriented
What are your weaknesses?: Too detail oriented , taking on too much responsibility
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate 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