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: DNS2177196 Name: Aman
  Address: NAURANGABASS JATTAN Charkhi Dadri Haryana
Telephone No.: 9050027739 Mobile no: 9050027739
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 434257141
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177196 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: DNS2177196
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aman
Mother's Name: Sunil
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jan 2003 Nationality: Indian
Place of Birth: Charkhi Dad Personal Identification Mark: A mole on neck
Blood Group: B + Address for Communication: NAURANGABASS JATTAN Charkhi Dadri Haryana
State: Haryana Country: India
Pin: 127310 City/District: Charkhi Dadri
Mobile no: 9050027739 Telephone No. with STD code: 9050027739
Aadhar Card No:777499913829 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Pyarelal Relationship with candidate: Father
Parents Date of Birth: 10 May 1969 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: NAURANGABASS JATTAN Charkhi Dadri Haryana
Country: India State: Haryana
City/District: Charkhi Dadri Pin: 127310
Tel: Mobile no.: 9050924860
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Haryana Board: Haryana
School: Divya Public school School: DIVYA PUBLIC SCHOOL
City: Charkhi Dadri City: Charkhi Dadri
English %: 81 Board Roll No./Seat No.: 3020450292
Aggregate Percentage: 85 School/College Code: 22010
  Centre code: 05411045
  Address of School/College: V.P.O- AUN, Charkhi Dadri, Haryana
  Pin: 127310
  Contact Nos: 8053127531
  Aggregate Percentage: 85
Details of Marks Secured in (10+2) Examination -

Physics 100 76 76
Chemistry 100 87 87
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 81.33
English 100 89 89
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
11/2014 Science Quiz School 2nd
11/2015 Sport Inter School Compition 1st
09/2016 International Talent hunt Olympiad International 420
11/2017 National Talent Search Examination National 360
How do you intend spending your time after completing class XII Final exams and before joining college ?: I used this precious by reading books,learning pc/laptop skills. I also studied about my aim means merchant navy,i reacherd about it and find so many interesting things. I also improve my leadership skills.
Why do you wish to join TMI?: TMI is one of best merchant navy colleges as well as a a good reputated shipping company. That is why i want to join TMI for my sailor career
What are your hobbies?: Cricket, BadmintonCooking,Collenting curriences
What are your strengths?: Good communication skills, Leadership qualities, Project management and hendling, Team work qualities
What are your weaknesses?: Tastey food
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

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

Signature of Candidate



Date ________________

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