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: Chaitanya Arun pawbake
Mother's Name: meena
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Sep 2003 Nationality: Indian
Place of Birth: sangamner Personal Identification Mark: No
Blood Group: O + Address for Communication: pawbaki road,sangamner dist-a.nager pawbaki road,sangamner Pawbaki sangamner
State: Maharashtra Country: India
Pin: 422605 City/District: sangamner
Mobile no: 7972873247 Telephone No. with STD code: 09529991694
Aadhar Card No:750189031085 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Meena arun pawbake Relationship with candidate: mother
Parents Date of Birth: 23 Sep 1986 Parent's/Guardian's Occupation/Designation: Worker
Office Address:
Address: Pawbaki road,sangamner pawbaki road,sangamner Pawbaki sangamner
Country: India State: Maharashtra
City/District: sangamner Pin: 422605
Tel: 9518331854 Mobile no.: 9518331854
Fax: 919518331854 Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: B.G.P sahyadri vidyalaya School: Amrutvahini junior college
City: sangamner City: sangamner
English %: 63 Board Roll No./Seat No.:
Aggregate Percentage: 60 School/College Code:
  Centre code:
  Address of School/College: Sangamner
  Pin: 422605
  Contact Nos: 02425259066
  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 ?: I am exited for computer courses
Why do you wish to join TMI?: because in tmi institute study and practical are provided
What are your hobbies?: Swimming,cricket,climbing,reading
What are your strengths?: Ability to work in team
What are your weaknesses?: To sensitive
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 ________________

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