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: DNS2050087 Name: Krushna kashinath shingade
  Address: Pimpri pendhar Junnar
Telephone No.: Mobile no: 9561003202
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305116598
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050087 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: DNS2050087
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Krushna kashinath shingade
Mother's Name: Sindhubai
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 May 2000 Nationality: Indian
Place of Birth: Dharmewadi Personal Identification Mark: Thumb nail of left leg damaged
Blood Group: O + Address for Communication: Pimpri pendhar Junnar
State: Maharashtra Country: India
Pin: 410504 City/District: PUNE
Mobile no: 9561003202 Telephone No. with STD code:
Aadhar Card No:488784784860 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kashinath shingade Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1974 Parent's/Guardian's Occupation/Designation: Farming
Office Address:
Address: Pimpri Pendhar Junnar
Country: India State: Maharashtra
City/District: Pune Pin: 410504
Tel: Mobile no.: 9588463066
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: Shri Sadguru Sitaram Maharaj vidyalaya School: DEMS and Junior collage
City: Pimpri Pendhar City: Ale
English %: 81 Board Roll No./Seat No.: P040211
Aggregate Percentage: 85 School/College Code: 0046
  Centre code: 0184
  Address of School/College: Ale , tal junnar , dist Pune
  Pin: 412411
  Contact Nos:
  Aggregate Percentage: 77
Details of Marks Secured in (10+2) Examination -

Physics 100 66 66
Chemistry 100 63 63
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 68
English 100 75 75
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
12/2017 Science exhibition District level Qualified for national level with position
Vocational and Training Courses undertaken:
05/2017 MH CET 2 month
05/2017 CCC 2 month
04/2018 Typing 3 month
How do you intend spending your time after completing class XII Final exams and before joining college ?: In studying fir imu exam
Why do you wish to join TMI?: To explore the world with profession
What are your hobbies?: Playing team games
What are your strengths?: Learn from mistakes
What are your weaknesses?: Makes mistake
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 Class XII admit card not uploaded Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________

Print Summary and Application Form