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: Kazi Sahil Faiz
Mother's Name: Ruby Faiz Kazi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Oct 2002 Nationality: INDIAN
Place of Birth: Kolhapur Personal Identification Mark: Mole on right side of the neck
Blood Group: O + Address for Communication: T-3, Shubham Residency, Kadamwadi Road, Unique Park, Kolhapur, Maharashtra-416003 103, Ranjana Residency,Yashoda Park, Mukt Sainik, Kolhapur, Maharashtra-416003
State: Maharashtra Country: India
Pin: 416003 City/District: Kolhapur
Mobile no: 7769069189 Telephone No. with STD code:
Aadhar Card No:609259836565 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Faiz Ahmed Kazi Relationship with candidate: Father
Parents Date of Birth: 05 Dec 1977 Parent's/Guardian's Occupation/Designation: Merchant Navy
Office Address:
Address: Andheri-Kurla Road, Andheri East, Mumbai 303, Leela Business Park, Marol
Country: India State: Maharashtra
City/District: Mumbai Pin: 400059
Tel: Mobile no.: 9975161409
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Sanjeevan International School School: Vivekanand College Kolhapur
City: Kolhapur City: Kolhapur
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: Tarabai Park, Kolhapur
  Pin: 416003
  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 ?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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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