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: DNS2177688 Name: Tarun Pal Singh Rathore
  Address: 360, Ashapurna City Pal Road
Telephone No.: 09352523398 Mobile no: 9352523398
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 428359795
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177688 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: DNS2177688
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Tarun Pal Singh Rathore
Mother's Name: Raj Kanwar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Feb 2002 Nationality: Indian
Place of Birth: Barmer Personal Identification Mark: cut mark on left wrist
Blood Group: B + Address for Communication: 360, Ashapurna City Pal Road
State: Rajasthan Country: India
Pin: 342008 City/District: Jodhpur
Mobile no: 9352523398 Telephone No. with STD code: 09352523398
Aadhar Card No:974273381584 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Padam Singh Rathore Relationship with candidate: Father
Parents Date of Birth: 08 May 1976 Parent's/Guardian's Occupation/Designation: Government Officer
Office Address:
Address: 360, Ashapurna City Pal Road
Country: India State: Rajasthan
City/District: Jodhpur Pin: 342001
Tel: Mobile no.: 9587444444
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Mayoor Chopasni School School: Mayoor Chopasni School
City: Jodhpur City: Jodhpur
English %: 69 Board Roll No./Seat No.: 11658574
Aggregate Percentage: 67 School/College Code: 10970
  Centre code: 1325
  Address of School/College: chopasni road jodhpur
  Pin: 342008
  Contact Nos:
  Aggregate Percentage: 71
Details of Marks Secured in (10+2) Examination -

Physics 100 65 65
Chemistry 100 65 65
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 63.33
English 100 83 83
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
10/2019 ISRO JIET Open House 2019 District No position
05/2018 NCC Certificate A Pass by A grade
05/2016 Swimming Competition Free Style and Back Stroke school level First and second
05/2016 Athletics Long Jump school level First
Vocational and Training Courses undertaken:
06/2018 Horse riding 2 months
06/2018 Swimming 1 month
05/2019 Football 1 month
How do you intend spending your time after completing class XII Final exams and before joining college ?: started Horse riding again and started reading books manly of Agatha Christie
Why do you wish to join TMI?: I want to join TMI because TMI is best institute of maritime on Indian and I always wants to be with the best
What are your hobbies?: Horse riding and playing football
What are your strengths?: loyal and always try to speak truth and joyfull
What are your weaknesses?: I am a wallflower type of person
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

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

Signature of Candidate



Date ________________

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