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: DNS2176913 Name: Adarsh Rana
  Address: Bahi Baijnath Kangra
Telephone No.: 7876699290 Mobile no: 7876699290
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427690656
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176913 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: DNS2176913
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Adarsh Rana
Mother's Name: Saroj Rana
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jan 2002 Nationality: Indian
Place of Birth: Palampur Personal Identification Mark: mole on left side of neck
Blood Group: A + Address for Communication: Bahi Baijnath Kangra
State: Himachal Pradesh Country: India
Pin: 176125 City/District: BAIJNATH
Mobile no: 7876699290 Telephone No. with STD code: 7876699290
Aadhar Card No:827512248186 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Arjun Singh Relationship with candidate: Father
Parents Date of Birth: 09 Feb 1967 Parent's/Guardian's Occupation/Designation: HP Police
Office Address:
Address: P.S- Jogindernagar Jogindernagar
Country: India State: Himachal Pradesh
City/District: Mandi Pin: 176120
Tel: Mobile no.: 8219168161
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: Himachal Pradesh
School: Mount Carmel School School: Bharti Vidyapeeth P.S.S.S
City: Baijnath City: Baijnath
English %: 83 Board Roll No./Seat No.: 2041772082
Aggregate Percentage: 84 School/College Code: 1772
  Centre code: 1772
  Address of School/College: School road baijnath
  Pin: 176125
  Contact Nos:
  Aggregate Percentage: 73
Details of Marks Secured in (10+2) Examination -

Physics 100 80 80
Chemistry 100 56 56
Mathematics 100 65 65
Physics, Chemistry & Mathematics combined Percentage: 67
English 100 84 84
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: learning guitar and other stuff, maintaing good physical fitness, cricket and prepairing myself for future career
Why do you wish to join TMI?: i want to join a reputed institute for a good carrer
What are your hobbies?: listening music ,singing and playing cricket
What are your strengths?: communication skills, leadership skills
What are your weaknesses?: advanced mathematics,work ethics
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 ________________

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