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: DNS2050070 Name: PUNEETH S DEVADIGA
  Address: Vishwambara Pithrody,udyavara,udupi,karnataka
Telephone No.: Mobile no: 7975817449
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305060341
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050070 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: DNS2050070
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: PUNEETH S DEVADIGA
Mother's Name: Sandhya S Devadiga
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Mar 2002 Nationality: Indian
Place of Birth: Udupi Personal Identification Mark: Mole between jawline
Blood Group: AB + Address for Communication: Vishwambara Pithrody,udyavara,udupi,karnataka
State: Karnataka Country: India
Pin: 574118 City/District: Udupi
Mobile no: 7975817449 Telephone No. with STD code:
Aadhar Card No:635271859694 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shekara S Devadiga Relationship with candidate: Father
Parents Date of Birth: 01 Feb 1966 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Matangadi udyavara Udupi,karnataka
Country: India State: Karnataka
City/District: Udupi Pin: 574118
Tel: Mobile no.: 9972387031
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Karnataka Board: Karnataka
School: School: Poorna prajna college
City: Udupi City: Udupi
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Poorna prajna college udupi
  Pin: 574118
  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 ?: I will utilize my time for preparation of sponsorship test and for imu cet
Why do you wish to join TMI?: Many of companies are with tmi and infrastructure is also good when compared to other college and I know it will help in my carrier in merchant navy and I heard discipline and education is also good
What are your hobbies?: My hobby is swimming
What are your strengths?: Self confidence
What are your weaknesses?: Straight forward
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 ________________

Print Summary and Application Form