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: DNS2177082 Name: ANKIT JOSHI
  Address: Dhari Dhamora Near aincholi
Telephone No.: Mobile no: 9870792180
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: -
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177082 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: DNS2177082
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: ANKIT JOSHI
Mother's Name: Rajeshwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Dec 2001 Nationality: Indian
Place of Birth: Pithoragarh Personal Identification Mark: Cut mark on forehead
Blood Group: O + Address for Communication: Dhari Dhamora Near aincholi
State: Uttaranchal Country: India
Pin: 262530 City/District: Pithoragarh
Mobile no: 9870792180 Telephone No. with STD code:
Aadhar Card No:403584444581 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Suresh Chandra joshi Relationship with candidate: Niece
Parents Date of Birth: 13 Jun 1964 Parent's/Guardian's Occupation/Designation: PWD
Office Address:
Address: Dhari Dhamora Dhamora
Country: India State: Uttaranchal
City/District: Pithoragarh Pin: 262530
Tel: Mobile no.: 7300959878
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: The Asian Academy School: The ASIAN ACADEMY SE.SC.SCHOOL
City: Pithoragarh City: Pithoragarh
English %: 89 Board Roll No./Seat No.: 25630084
Aggregate Percentage: 84 School/College Code: 81521
  Centre code: 8126
  Address of School/College: Near Aincholi
  Pin: 262530
  Contact Nos:
  Aggregate Percentage: 81
Details of Marks Secured in (10+2) Examination -

Physics 100 71 71
Chemistry 100 86 86
Mathematics 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 80
English 100 77 77
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Did not went anywhere because of covid19
Why do you wish to join TMI?: I want to join tmi because ,they help me to achieve my goals.
What are your hobbies?: Playing cricket
What are your strengths?: I make friends easily
What are your weaknesses?: I trust on other easily
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate Class X marksheet School leaving certificate Class XII admit card Class XII marksheet

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

Signature of Candidate



Date ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.
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