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: DNS2051831 Name: petkar sahil santosh
  Address: vijaygopal ta.deoli dist.wardha
Telephone No.: Mobile no: 8805237720
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 309645785
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051831 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: DNS2051831
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: petkar sahil santosh
Mother's Name: sangita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Jun 2002 Nationality: Indian
Place of Birth: wardha Personal Identification Mark: mole on left hand
Blood Group: A + Address for Communication: vijaygopal ta.deoli dist.wardha
State: Maharashtra Country: Iran
Pin: 442306 City/District: wardha
Mobile no: 8805237720 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: santosh petkar Relationship with candidate: son
Parents Date of Birth: 27 Jul 1976 Parent's/Guardian's Occupation/Designation: business
Office Address:
Address: vijaygopal ta.deoli dist.wardha
Country: India State: Maharashtra
City/District: wardha Pin: 442306
Tel: Mobile no.: 9765221184
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board:
School: new english high school School: narayana junior college
City: wardha City: hyderabad
English %: 65 Board Roll No./Seat No.: 1958262749
Aggregate Percentage: 64 School/College Code: 58417
  Centre code: 58417
  Address of School/College: kunthloor hayathnagar rangareddy district
  Pin: 501505
  Contact Nos:
  Aggregate Percentage: 80
Details of Marks Secured in (10+2) Examination -

Physics 150 122 81.33
Chemistry 150 129 86
Mathematics 300 216 72
Physics, Chemistry & Mathematics combined Percentage: 79.78
English 100 75 75
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
2015 scoute and giude district level pariod
How do you intend spending your time after completing class XII Final exams and before joining college ?: entrance exams preparations
Why do you wish to join TMI?: it is reputed institute
What are your hobbies?: playing basketball
What are your strengths?: i am a hardworker
What are your weaknesses?: i dont feel nice when i didnt finish my work within a given time
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 ________________

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