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: DNS2177256 Name: Shekhu Ali Ansari
  Address: 403/158-2ND FLOOR NEAR ST.GIRI.SCHOOL, Joga bai, Batla house, jamia nagar New Delhi
Telephone No.: Mobile no: 9560830959
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 431039274
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177256 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: DNS2177256
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shekhu Ali Ansari
Mother's Name: Khushboo Ansari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Jan 2001 Nationality: INDIAN
Place of Birth: Bihar Personal Identification Mark: NO
Blood Group: O + Address for Communication: 403/158-2ND FLOOR NEAR ST.GIRI.SCHOOL, Joga bai, Batla house, jamia nagar New Delhi
State: Delhi Country: India
Pin: 110025 City/District: New delhi South District
Mobile no: 9560830959 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shahanshah ali ansari Relationship with candidate: candidate FATHER
Parents Date of Birth: 11 Jan 1961 Parent's/Guardian's Occupation/Designation: Business man
Office Address:
Address: Near big city mall, khabib mention Riyadh, Saudi arabia
Country: Saudi Arabia State: Other
City/District: RIYADH Pin: 11543
Tel: Mobile no.: 8130947835
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Bihar
School: Happy senior school School: Bihar Board of Open Schooling and Examination
City: new delhi City: Patna
English %: 76 Board Roll No./Seat No.: 1922019887
Aggregate Percentage: 80 School/College Code: Cw35070211
  Centre code: 192352
  Address of School/College: Chanakya National Law University Campus, Nyay Nagar, Mithapur Patna
  Pin: 800001
  Contact Nos:
  Aggregate Percentage: 66
Details of Marks Secured in (10+2) Examination -

Physics 100 65 65
Chemistry 100 76 76
Mathematics 100 59 59
Physics, Chemistry & Mathematics combined Percentage: 66.67
English 100 64 64
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
01/2017 Kabaddi and Badminton Secondary school level 1ist and 3rd position
11/2018 Cricket and basketball domestic level 4th and 2nd position
10/2019 volunteering southeast district repeat volunteers
04/2021 fundraising campaign southeast district no position
Vocational and Training Courses undertaken:
02/2021 English spoken 3 to 5months
01/2021 Physics or chemistry and maths 3 to 5months
04/2020 Neet entrance course 5 months
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing my 12th board examination, I intend to undertake quite a few activities to enhance my knowledge and skills. Firstly, I will be joining the local cricket academy in my city in order to fulfill my dream of becoming a better cricketer. During my school days, I used to play cricket on a regular basis, and I would like to continue this habit throughout my life. Secondly, I would like to assist my mother around the house in order to gain invaluable life skills. I understand that in the near future, I will be living on my own, therefore I would like to pick up some necessary skills like cooking and budgeting to become self-reliant and independent.Thirdly, volunteering in small groups to supply food and clothing for old people and young childrens, also raising funds to buy fruits and vegetables for these people and purchased an essential medicine for the needy people and supplied fresh water cans. Lastly, I will be enrolling myself with a tuition centre to prepare for important subjects like Physics, Chemistry and Math. I want to attain a good score in my examinations so that I enter the college of my dreams.
Why do you wish to join TMI?: It is one of the best colleges for in Marine Engineering. It has a very prestigious organization, and offers good placements in many large companies such as Maersk, Northern Maritime, Chevron. In compare to other institutions, the fee estimate is also low. The Mission in Tolani Maritime Institute is committed to be an instrument of positive change in the maritime industry such as, the inculcation of integrity and courage, respect for oneself and others and development of physical and mental capacities of the students. That s why i wish to join Tolani Maritime Institute.
What are your hobbies?: My hobbies are reading newspaper and learning about new things. Playing football-basketball and I like cooking and watching action movies, Observing night sky and I love to hanging out with my family and friends also, I like to run with headphones and listen to my favorite guilty pleasure music.
What are your strengths?: I believe that my greatest is my ability to solve problems quickly. I possess a strong work ethic as I am quite passionate about undertaking tasks and ability to survive in harsh and unfavorable conditions.
What are your weaknesses?: I feel uncomfortable when I did not finish my work within a given time.
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate 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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