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


  Dossier ID: DNS2172335
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shinde Karan Mahadev
Mother's Name: Ganga
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Sep 2002 Nationality: Indian
Place of Birth: Hiwara go. Personal Identification Mark: Black mark on hand
Blood Group: AB + Address for Communication: Hiwara Gowardhan Sirsala,parli,Beed Beed
State: Maharashtra Country: India
Pin: 431128 City/District: Beed
Mobile no: 9307020929 Telephone No. with STD code: 9307020929
Aadhar Card No:528205167392 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mahadev Shriram Shinde Relationship with candidate: Father
Parents Date of Birth: 12 Dec 1976 Parent's/Guardian's Occupation/Designation: Worker
Office Address:
Address: Sirsala road Parli,Beed
Country: India State: Maharashtra
City/District: Beed Pin: 431128
Tel: 09307020929 Mobile no.: 8975562435
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: New Highschool Hiwara School: New Highschool Sirsala
City: Beed City: Sirsala
English %: 50 Board Roll No./Seat No.: R048768
Aggregate Percentage: 75 School/College Code: 27270808202
  Centre code: 0320
  Address of School/College: Sirsala road.parli
  Pin: 431128
  Contact Nos: 9307020929
  Aggregate Percentage: 71
Details of Marks Secured in (10+2) Examination -

Physics 100 70 70
Chemistry 100 73 73
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 74.33
English 100 50 50
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing class XII Final exams I was preparing for companies intereview and Imucet exam.
Why do you wish to join TMI?: Tolani Is the best college for DNS college.
What are your hobbies?: I like playing and reading
What are your strengths?: My Strength is my family
What are your weaknesses?: No weakness
How do you intend to meet the expenses of this program?: 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.