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: DNS2181495 Name: Manish Singh Adhikari
  Address: Malli riyuni Majkhali Almora
Telephone No.: 07617676768 Mobile no: 7617676768
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432234636
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2181495 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: DNS2181495
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Manish Singh Adhikari
Mother's Name: Janki Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Sep 2002 Nationality: Indian
Place of Birth: Ranikhet Personal Identification Mark: Birth mark at waist
Blood Group: A + Address for Communication: Malli riyuni Majkhali Almora
State: Uttaranchal Country: India
Pin: 263652 City/District: Majkhali
Mobile no: 7617676768 Telephone No. with STD code: 07617676768
Aadhar Card No:733378169549 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Narayan Singh Adhikari Relationship with candidate: Son
Parents Date of Birth: 10 Jan 1974 Parent's/Guardian's Occupation/Designation: Shopkeeper
Office Address:
Address: Malli riyuni Majkhali Majkhali Almora
Country: India State: Uttaranchal
City/District: Majkhali Pin: 263652
Tel: 7617676768 Mobile no.: 7617676768
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya Ranikhet School: Kendriya Vidyalaya Ranikhet
City: Ranikhet City: Ranikhet
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: Kendriya Vidyalaya Ranikhet Almora Uttarakhand
  Pin: 263645
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
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 ?: At this time I have not given exam . But after my exam I will prepare for my imu cet and prepare myself for merchant Navy.
Why do you wish to join TMI?: As it is one of the reputed college in India.
What are your hobbies?: Gym , exercise , drawing ,
What are your strengths?: Good in Maths , friendly nature
What are your weaknesses?: Not good and fluent in English.
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 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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