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: DNS2177070 Name: Dhanashree
  Address: Anushree niwas Ervakkad Mulamkunnu
Telephone No.: Mobile no: 9952867119
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427737652
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177070 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: DNS2177070
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Dhanashree
Mother's Name: Sindhu
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Jun 2003 Nationality: India
Place of Birth: Nagpur Personal Identification Mark: Black mole on left arm
Blood Group: O + Address for Communication: Anushree niwas Ervakkad Mulamkunnu
State: Kerala Country: India
Pin: 679552 City/District: Palakkad
Mobile no: 9952867119 Telephone No. with STD code:
Aadhar Card No:432947409075 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sindhu Relationship with candidate: Mother
Parents Date of Birth: 29 Dec 1979 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Anushree niwas Ervakkad Mulamkunnu
Country: India State: Kerala
City/District: Palakkad Pin: 679552
Tel: 09952867119 Mobile no.: 9422391684
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Chinmaya vidyalaya School: Chinmaya vidyalaya
City: Palakkad City: Palakkad
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Chinmaya vidyalaya , engineer road, kalladathur p.o. palakkad
  Pin: 679552
  Contact Nos: 04662276631
  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
01/2019 Shot put School level 3rd
11/2019 English extempore School 1st
05/2021 Hindi extempore School 2nd
How do you intend spending your time after completing class XII Final exams and before joining college ?: Going on tour and continuing guitar classes if situations are normal, reading more books ,learning spanish and keeping an eye on health
Why do you wish to join TMI?: TMI has a good placement record in reputed shipping companies
What are your hobbies?: Playing guitar, cycling, hiking, riding
What are your strengths?: Versatility, flexibility, adaptable
What are your weaknesses?: Impulsive
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 not uploaded

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

Signature of Candidate



Date ________________

Print Summary and Application Form