Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
(New Admission Diploma in Nautical Science 2020)

Application Summary: Diploma in Nautical Science
Dossier ID: DNS2049957 Name: Sukhvir Singh
  Address:, Block-C Aerocity
Telephone No.: Mobile no: 9877903909
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 304838581
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049957 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 ensure that you send the following documents with your application.
  1. Write Application for Diploma in Nautical Science, Dossier ID on the envelope
  2. Print the application form duly filled
  3. Print the application summary duly signed where indicated
  4. Three identical recent passport size photographs with name & dossier id written at the back
  5. Self – attested copies of Class X marksheet and Pass Certificate
  6. Self – attested copies of Class XII marksheet and Pass Certificate (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  7. Self – attested copies of class XII marksheet downloaded from internet (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  8. Self – attested copies of school leaving certificate / transfer certificate (for proof of age)
  9. Self – attested copy of birth certificate (for proof of age and place of birth)
  10. Copies of sports and extra-curricular activities (Class VIII and above only)
  11. Copy of Class XII board exam admit card for those appearing in 2020
  12. A non-refundable Demand Draft of Rs. 200/- favouring “Tolani Maritime Institute” payable at Pune. Write your name, dossier id and contact details on the reverse of the Demand Draft (Kindly ignore if you have paid online)
  13. Please keep a copy of the form for your reference for communicating with the Institute

Send Duly filled application forms to:

Admissions Cell (DNS)
Tolani Maritime Institute
Talegaon-Chakan road, Induri,
Talegaon, Pune, Pin- 410507
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: DNS2049957
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sukhvir Singh
Mother's Name: Paramjit Kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Nov 2002 Nationality: Indian
Place of Birth: Chandigarh Personal Identification Mark: White birthmark behind neck
Blood Group: A + Address for Communication:, Block-C Aerocity
State: Punjab Country: India
Pin: 140603 City/District: Mohali
Mobile no: 9877903909 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Gursewak Singh Relationship with candidate: Father
Parents Date of Birth: 28 Apr 1978 Parent's/Guardian's Occupation/Designation: Businessman
Office Address:
Address: Shop no.1112,Khushal enclave Phabat road, Zirakpur
Country: India State: Punjab
City/District: Mohali Pin: 140603
Tel: Mobile no.: 9814840085
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: Punjab
School: Yadavindra public school School: Baba Gurmukh Singh Baba Uttam Singh Senior Secondary school
City: Mohali City: Khadur Sahib
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Centre code:
  Address of School/College: Khadur Sahib, Tarn taran,Punjab
  Pin: 143117
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 75
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
08/2018 Military hero presentation School level 3 position
09/2018 Country presentation School level 1 position
09/2019 Football School level 1 position
Vocational and Training Courses undertaken:
04/2018 Nda 2 year
How do you intend spending your time after completing class XII Final exams and before joining college ?: I listen music. I spend time with my family.I play games with my friends to enjoy
Why do you wish to join TMI?: I want to join TMI because I want to educate from a good institute and I chose TMI for that.
What are your hobbies?: I read novels. I listen music.
What are your strengths?: I always have a smile on my face. I have patience.I understand concepts easily.
What are your weaknesses?: I have a habbit of overeating.
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 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 ________________

Print Summary and Application Form