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: DNS2183805 Name: Dakshita Sharma
  Address: NB11/86 Staff colony
Telephone No.: 07879825789 Mobile no: 7879825789
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 434580812
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2183805 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: DNS2183805
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Dakshita Sharma
Mother's Name: Sandhya Sharma
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Aug 2003 Nationality: Indian
Place of Birth: Jhansi Personal Identification Mark: Mole on nose
Blood Group: O + Address for Communication: NB11/86 Staff colony
State: Madhya Pradesh Country: India
Pin: 470675 City/District: Damoh
Mobile no: 7879825789 Telephone No. with STD code: 07879825789
Aadhar Card No:339483774204 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rahul Sharma Relationship with candidate: Father
Parents Date of Birth: 22 Sep 1975 Parent's/Guardian's Occupation/Designation: Private job
Office Address:
Address: NB11/86 Staff colony
Country: India State: Madhya Pradesh
City/District: Damoh Pin: 470675
Tel: 09424416714 Mobile no.: 9424416714
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Gyanodaya Vidya Mandir School: Gyanodaya Vidya Mandir
City: Damoh City: Madhya Pradesh
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: NB11/86 Staff colony
  Pin: 470675
  Contact Nos: 07879825789
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
01/2020 Cricket Senior First
01/2020 Kho Kho Senior First
12/2019 Hand ball Senior First
12/2019 Badminton Senior First
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will strength my roots in this leisure time, and also prepare for upcoming competitions
Why do you wish to join TMI?: TMI is one of the best institute in India for merchant navy
What are your hobbies?: Singing, cooking,dancing,watching YouTube
What are your strengths?: My strength is my punctuality and having leadership qualities
What are your weaknesses?: Bad with leniency in work
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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