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


  Dossier ID: DNS2174866
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Vishwakarma Shailendra Rajkumar
Mother's Name: Indravati
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Nov 2002 Nationality: Indian
Place of Birth: Maharashtra Personal Identification Mark: BlackDot Behind Ear
Blood Group: AB + Address for Communication: Ambika Nagar Wangi Road Parbhani
State: Maharashtra Country: India
Pin: 431401 City/District: Parbhani
Mobile no: 9172421175 Telephone No. with STD code:
Aadhar Card No:677789279387 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajkumar Shivprasad Vishwakarma Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1975 Parent's/Guardian's Occupation/Designation: Labour
Office Address:
Address: Ambika Nagar Wangi Road Parbhani
Country: India State: Maharashtra
City/District: Parbhani Pin: 431401
Tel: Mobile no.: 8408844306
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Yoganand High school School: Dnyanopasak High School
City: Parbhani City: Parbhani
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: Ambika Nagar Wangi Road Parbhani
  Pin: 431401
  Contact Nos: 9172421175
  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:  
Vocational and Training Courses undertaken:
10/2019 MSCIT 6 Months
How do you intend spending your time after completing class XII Final exams and before joining college ?: Before joining College I was intend for become an Engineer Then I got Information about marine Engineering so I thought to Become it
Why do you wish to join TMI?: Because it is one of best Institutes of Marine Engineering
What are your hobbies?: I like to Play Kabaddi Game also I like to Do Adventurous things
What are your strengths?: I have much more Practical Knowledge and also I can speak 4 multiple Languages
What are your weaknesses?: Some what lack of Communication skills but I will Definitely work on it
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.