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: DNS2181451 Name: Digbijoy Chetry
  Address: borbil no. 2 , tipam road, digboi Dist. Tinsukia , Assam
Telephone No.: Mobile no: 6001050364
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432315621
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2181451 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: DNS2181451
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Digbijoy Chetry
Mother's Name: Sangita Chetry
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jan 2002 Nationality: Indian
Place of Birth: Digboi Personal Identification Mark: mole in neck
Blood Group: A + Address for Communication: borbil no. 2 , tipam road, digboi Dist. Tinsukia , Assam
State: Assam Country: India
Pin: 786171 City/District: Digboi
Mobile no: 6001050364 Telephone No. with STD code:
Aadhar Card No:641208898830 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Harka Bahadur Chetry Relationship with candidate: Father
Parents Date of Birth: 01 Sep 1968 Parent's/Guardian's Occupation/Designation: Retired Army
Office Address:
Address: Borbil No. 2 Tipam Road , Digboi
Country: India State: Assam
City/District: Tinsukia Pin: 786171
Tel: Mobile no.: 7002194134
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: The little stars school School: The little stars school
City: Digboi City: Digboi
English %: 85 Board Roll No./Seat No.: 16621010
Aggregate Percentage: 87 School/College Code: 35101
  Centre code: 3656
  Address of School/College: Borbil No. 1, Digboi
  Pin: 786171
  Contact Nos: 06001050364
  Aggregate Percentage: 71
Details of Marks Secured in (10+2) Examination -

Physics 100 77 77
Chemistry 100 78 78
Mathematics 100 48 48
Physics, Chemistry & Mathematics combined Percentage: 67.67
English 100 67 67
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
11/2017 Debate competition District First
11/2018 Debate Competition District Third
05/2021 Poster making School First
12/2020 Ludo Competition University Level First
Vocational and Training Courses undertaken:
04/2017 Junior Diploma in Painting 1 Year
How do you intend spending your time after completing class XII Final exams and before joining college ?: I had passed my class 12 last year and I had even joined a state govt. university in Computer Science Engineering. But I always had the dream to become a merchant navy, so I had a lot of discussion with my family and after a lot of arguments they agreed to allow me to follow my dream of becoming a seaman.
Why do you wish to join TMI?: Like every student who are willing to join merchant navy, they have a dream to study in a reputed institution and TMI is one of the most reputed institution for the students who want to become merchant navy. Since the day I had decided to pursue my future in Merchant Navy, TMI had always been my first priority, and thus it is my very wish to be a student of TMI.
What are your hobbies?: Playing outdoor games, debate, quiz, cooking, playing stimulation games
What are your strengths?: Disciplined , determined , focused, hardworking, punctual, good communicational skill, Honest
What are your weaknesses?: Being too honest, being too sensitive, being too helpful to others
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 Class XII admit card Class XII marksheet

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

Signature of Candidate



Date ________________

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