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: DNS2179922 Name: Nandhu krishna M S
  Address: 7356078959 vadanapally,thrissur 9947269700 vadanapally,thrissur
Telephone No.: 09947269700 Mobile no: 7356078959
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431332468
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179922 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: DNS2179922
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Nandhu krishna M S
Mother's Name: Sheeba sunil
Gender (M/F): Male Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 03 Dec 2003 Nationality: Indian
Place of Birth: Thrissur Personal Identification Mark: A mole on the right cheek
Blood Group: O + Address for Communication: 7356078959 vadanapally,thrissur 9947269700 vadanapally,thrissur
State: Kerala Country: India
Pin: 680614 City/District: Thrissur
Mobile no: 7356078959 Telephone No. with STD code: 09947269700
Aadhar Card No:207205260354 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sunil MA Relationship with candidate: Father
Parents Date of Birth: 14 Mar 1968 Parent's/Guardian's Occupation/Designation: Driver
Office Address:
Address: 7356078959 vadanapally,thrissur 9947269700 vadanapally,thrissur
Country: India State: Kerala
City/District: Others Pin: 680614
Tel: 04872602179 Mobile no.: 7356078959
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: BVM Valapad School: GVHSS Thalikulam
City: Thrissur City: Thrissur
English %: 98 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Centre code:
  Address of School/College: Thalikulam, Thrissur
  Pin: 680614
  Contact Nos: 7356078959
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Iam preparing for sponsorship exams for merchant navy. Because of covid 19 pandemic our pratical exams are postponed. We dont know if pratical would conduct or cancel . So i also want to prepare for that. iam planning to spent with my family
Why do you wish to join TMI?: I heard about it from my friend and when i seek on internet i get better reviews and result. My dream is to become captain of the ship and i know that TMI can fulfill my dream
What are your hobbies?: My main hobby is enjoying with my friends but education is always abreast for me. Now, because of covid 19 pandemic i found pleasure in farming and started helping my parents
What are your strengths?: My strength is my Confidence which is gained from my parents. Iam doing all this to protect my parents.
What are your weaknesses?: Empathetic and being too honest are my weakness
How do you intend to meet the expenses of this program?: 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 not uploaded

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

Signature of Candidate



Date ________________

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