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


  Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Harshwardhan
Mother's Name: Sunanda
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 May 2001 Nationality: Indian
Place of Birth: Aurangabad Personal Identification Mark: White patch on right leg
Blood Group: O + Address for Communication: House no 34 serial no 64/5 Navyug colony bhimnagar bhavsingpura Aurangabad
State: Maharashtra Country: India
Pin: 431001 City/District: Aurangabad
Mobile no: 8208545480 Telephone No. with STD code:
Aadhar Card No:689572980010 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Radhakisan Pagare Relationship with candidate: Father
Parents Date of Birth: 02 Jun 1974 Parent's/Guardian's Occupation/Designation: security guard
Office Address:
Address: Akashwani Jalna road opposite of sfs school
Country: India State: Maharashtra
City/District: Aurangabad Pin: 431001
Tel: Mobile no.: 7620447349
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Kendriya vidyalaya School: Kendriya vidyalaya
City: Aurangabad City: Aurangabad
English %: 76 Board Roll No./Seat No.: 15601166
Aggregate Percentage: 68 School/College Code: 34003
  Centre code: 1130030
  Address of School/College: Near Nagar naka Aurangabad
  Pin: 431001
  Contact Nos:
  Aggregate Percentage: 70
Details of Marks Secured in (10+2) Examination -

Physics 100 82 82
Chemistry 100 62 62
Mathematics 100 44 44
Physics, Chemistry & Mathematics combined Percentage: 62.67
English 100 85 85
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
01/2021 Powerlifting District 1
02/2021 Powerlifting State 4
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will do Charity work and join a NGO. Learning New skills and Exploring myself. Preparing for IMUCET and sponsorship exams. I will also Join a Gym.
Why do you wish to join TMI?: Tolani Maritime institute is one of the best Maritime Institute in India. The Environment that Tolani Provides for Cadet is very essential for develop its future in Merchant Navy. My Senior are alumni of TMI and they also suggested to join TMI
What are your hobbies?: Reading, Writing ,Gyming ,Exploring.
What are your strengths?: I am a responsible person and always aware for my work. I do my work with honesty and with dedication. Analyzing situations.
What are your weaknesses?: Short Temper.
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 ________________

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