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


  Dossier ID: DNS2174632
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Desai tanish shekhar
Mother's Name: Reena desai
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Aug 2003 Nationality: Indian
Place of Birth: Jaipur Personal Identification Mark: Nothing
Blood Group: B + Address for Communication: Himalaya society Near homeguard Ghatkopar west
State: Maharashtra Country: India
Pin: 400084 City/District: Mumbai
Mobile no: 8291198689 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shekhar desai Relationship with candidate: Dad of the candidate
Parents Date of Birth: 26 Nov 1980 Parent's/Guardian's Occupation/Designation: Pharmacist
Office Address:
Address: Himalaya society Near homeguard Ghatkopar west
Country: India State: Maharashtra
City/District: Mumbai Pin: 400084
Tel: Mobile no.: 9892865273
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Holy cross high school School: Sm shetty junior college
City: Mumbai City: Mumbai
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Centre code:
  Address of School/College: Powai hiranandani
  Pin: 400076
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics, Chemistry & Mathematics combined Percentage:
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will learn new physical activities
Why do you wish to join TMI?: Someone suggest me
What are your hobbies?: Football
What are your strengths?: When i decide something or take decision of it i do that at any cost
What are your weaknesses?: I am easily distracted
How do you intend to meet the expenses of this program?: Own Resources
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.