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: Jadhav Mahesh Bhagavat
Mother's Name: Sita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jul 2001 Nationality: Indian
Place of Birth: Malewadi Personal Identification Mark: Mole on left nick
Blood Group: O - Address for Communication: At-Malewadi po-Amalner Ta-shirur Dist-Beed
State: Maharashtra Country: India
Pin: 413207 City/District: Beed
Mobile no: 7066833629 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Jadhav Bhagavat Sahebrao Relationship with candidate: Son
Parents Date of Birth: 01 Jan 1976 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: At malewadi Post amalner Tal shirur dist beed
Country: India State: Maharashtra
City/District: Beed Pin: 413207
Tel: Mobile no.: 7066833629
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: Shri Ganesh Vidya Mandir Amalner School: New arts commerce and science collage ahmednagar
City: Amalner City: Ahmednagar
English %: 75 Board Roll No./Seat No.: P045842
Aggregate Percentage: 89 School/College Code: 1205002
  Centre code: 0211
  Address of School/College: Ahmednagar
  Pin: 414001
  Contact Nos: 07066833629
  Aggregate Percentage: 66
Details of Marks Secured in (10+2) Examination -

Physics 100 59 59
Chemistry 100 62 62
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 65.67
English 100 58 58
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am studying for government jobs and also do part time job at computer lab as helper and data entry operator.
Why do you wish to join TMI?: I want to join merchants navy so I wish it.
What are your hobbies?: Swimming, cycling ,playing out door games
What are your strengths?: I do every work Sensiorly before time
What are your weaknesses?: No weakness, if I had I work on it.
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 ________________

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