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


  Dossier ID: DNS2171148
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Omkar Laxman Kamble
Mother's Name: Kanchan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jul 2003 Nationality: Indian
Place of Birth: Chiplun Personal Identification Mark: Mole on right hand
Blood Group: A + Address for Communication: C-512GREENCOVE PARANJAPE SCHEME PAGMALA CHIPLUN C-512 green cove pranjape scheme pagmala Chiplun ratnagiri
State: Maharashtra Country: India
Pin: 415605 City/District: Ratnagiri
Mobile no: 8624032799 Telephone No. with STD code:
Aadhar Card No:990793011182 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Laxman kamble Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1969 Parent's/Guardian's Occupation/Designation: Private service
Office Address:
Address: C-512GREENCOVE PARANJAPE SCHEME PAGMALA CHIPLUN C-512 greencove pranjape scheme pagmala chiplun ratnagiri
Country: India State: Maharashtra
City/District: CHIPLUN Pin: 415605
Tel: 09158412799 Mobile no.: 9158412799
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Christ jyoti convent high school chiplun School: Gns Sawrde
City: CHIPLUN City: Sawarde
English %: 45 Board Roll No./Seat No.:
Aggregate Percentage: 64 School/College Code:
  Centre code:
  Address of School/College: Sawarde
  Pin: 415606
  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 am 12 appearing student.
Why do you wish to join TMI?: I want to join TMI as its obviously the best institute of india and also because I find myself as a suitable candidate for this field
What are your hobbies?: Playing football, Swimming
What are your strengths?: Ability to cope with failures and learn from mistakes.
What are your weaknesses?: Being too detailed
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.