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: DNS2177656 Name: VANSH RAJWANSHI
  Address: THX-81,Ashram road Adipur
Telephone No.: Mobile no: 9825531733
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: 428360851
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177656 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: DNS2177656
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: VANSH RAJWANSHI
Mother's Name: Deepa Rajwanshi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Aug 2003 Nationality: Indian
Place of Birth: Gandhidham Personal Identification Mark: Mole on right shoulder
Blood Group: A + Address for Communication: THX-81,Ashram road Adipur
State: Gujarat Country: India
Pin: 370201 City/District: Gandhidham
Mobile no: 9825531733 Telephone No. with STD code:
Aadhar Card No:588964736303 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sandeep Rajwanshi Relationship with candidate: Father
Parents Date of Birth: 16 Jan 1969 Parent's/Guardian's Occupation/Designation: General Manager
Office Address:
Address: Honeycomb logistics Pvt Limited IOCL Link road
Country: India State: Gujarat
City/District: Kutch Pin: 370421
Tel: Mobile no.: 9825225733
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Gujarat
School: Amarchand Singhvi International School School: St Xaviers High School
City: Gandhidham City: Gandhidham
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: Ward 3B,Adipur,Gandhidham
  Pin: 370201
  Contact Nos: 02836260265
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 150
Chemistry 150
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
08/2018 Basketball Inter School First
01/2019 Relay Race Inter School First
07/2018 Football Inter School Second
04/2018 Kho Kho Inter School Second
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will play sports, read more books and learn new skills.
Why do you wish to join TMI?: I got a good reference from my uncle who is a Master Mariner Capt PK Goyal, currently sailing with V Ships
What are your hobbies?: Sports,Travelling,Reading books
What are your strengths?: Very calm by nature, Quick learner, Hardworking
What are your weaknesses?: I have trouble saying no to requests
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 ________________

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