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


  Dossier ID: DNS2175824
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shubham Sakre
Mother's Name: Ranjana
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Aug 2003 Nationality: Indian
Place of Birth: Amla Personal Identification Mark: Mole on throat
Blood Group: B + Address for Communication: Shahane Colony Borgaon Th.Sausar Dist. Chhindwara Shahane Colony Borgaon
State: Madhya Pradesh Country: India
Pin: 480106 City/District: Chhindwara
Mobile no: 7354702158 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Narayan Sakre Relationship with candidate: Father
Parents Date of Birth: 27 Jul 1974 Parent's/Guardian's Occupation/Designation: Worker
Office Address:
Address: Shahane Colony Borgaon Th.Sausar Dist. Chhindwara Shahane Colony Borgaon
Country: India State: Madhya Pradesh
City/District: Chhindwara Pin: 480106
Tel: Mobile no.: 7354702158
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Madhya Pradesh
School: Om Sai International Public school School: Little Step
City: Sausar City: Chhindwara
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: Borgaon
  Pin: 480106
  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 ?: Learning
Why do you wish to join TMI?: As my deep interest in Merchant navy
What are your hobbies?: Playing Musical Instruments and reading
What are your strengths?: Confidence, Creative,Charming,truth, leadership
What are your weaknesses?: Lack of criticism
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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.