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: DNS2179368 Name: Vaishnav C V
  Address: Chalil,CMC 33 Madackal,Cherthala North Alappuzha,kerala
Telephone No.: Mobile no: 7356422957
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430375222
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179368 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: DNS2179368
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Vaishnav C V
Mother's Name: Biji
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Mar 2003 Nationality: India
Place of Birth: Alappuzha Personal Identification Mark: Black mole above the eyebrow of right eye
Blood Group: O + Address for Communication: Chalil,CMC 33 Madackal,Cherthala North Alappuzha,kerala
State: Kerala Country: India
Pin: 688524 City/District: Alappuzha
Mobile no: 7356422957 Telephone No. with STD code:
Aadhar Card No:904810984610 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Viju Relationship with candidate: Father
Parents Date of Birth: 24 May 1973 Parent's/Guardian's Occupation/Designation: business
Office Address:
Address: Keli Furniture,CMC 27 454 A Cherthala P.O Cherthala.
Country: India State: Kerala
City/District: Alappuzha Pin: 688524
Tel: Mobile no.: 9656696013
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Kerala
School: ST Joseph Public School Pattanakad School: S N M GOVT BHSS Cherthala
City: Cherthala City: Cherthala
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: AC Rd,Chakkarakulam,Cherthala,kerala
  Pin: 688524
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 200
Chemistry 200
Mathematics 200
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
12/2018 Basket ball School tournment 1
12/2018 High jump school tournment 3
09/2016 400m relay ICSE meet 6
09/2016 1500m running ICSE meet 7
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study to attend IMU CET and to make some preperations for sponsorship exams.To study english to improve language
Why do you wish to join TMI?: TOLANI is one of the best shipping company of the world and i wish to join a best company for my future.i have heard a lot of this company that makes me curious to join this company..
What are your hobbies?: pen collection,rubiks cube,cycling,watching sports,music
What are your strengths?: self control,dedication,honesty,focused,introvert
What are your weaknesses?: presentation skill,writting,too detail orientation
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 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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