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: DNS2050005 Name: Akashdeep singh
  Address: vilage kullian p/o garhdiwala dist. Hoshiarpur ,Punjab
Telephone No.: 09463287029 Mobile no: 9463287029
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 304966507
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050005 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: DNS2050005
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Akashdeep singh
Mother's Name: Gurmit kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Dec 2001 Nationality: Indian
Place of Birth: india Personal Identification Mark: black dot on chin and little golden beard
Blood Group: B + Address for Communication: vilage kullian p/o garhdiwala dist. Hoshiarpur ,Punjab
State: Punjab Country: India
Pin: 144207 City/District: Others
Mobile no: 9463287029 Telephone No. with STD code: 09463287029
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: sourav singh Relationship with candidate: brother
Parents Date of Birth: 27 Jun 1975 Parent's/Guardian's Occupation/Designation: student
Office Address:
Address: vill. kullian p/o garhdiwala dist. hoshiarpur ,Punjab
Country: India State: Punjab
City/District: Hoshiarpur Pin: 144207
Tel: Mobile no.: 7888626992
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Punjab
School: Sant Baba Harnam Singh Khalsa Model School Garhdiwala School: ST college of nursing and medical sciences
City: Hoshiarpur City: Hoshiarpur
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: mehlawali,una road ,hoshiarpur,Punjab
  Pin: 146110
  Contact Nos: 9855780801
  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
09/2019 Model of United Nations19 District participated as distinguish representatove
12/2015 NSTSE16 national 11384
02/2020 His Helping Hands district member of doation team
11/2019 Dr APJ national innovation conclave district participation
How do you intend spending your time after completing class XII Final exams and before joining college ?: by learning guitar.joining gym and learning spoken english
Why do you wish to join TMI?: because it is world recognized and it has best facilities and placement for dns
What are your hobbies?: playing guitar and volleyball
What are your strengths?: my capability of retention
What are your weaknesses?: introvert to little extent
How do you intend to meet the expenses of this program?: Other - directly in hands of college
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