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: Siddhesh prashant bhoite
Mother's Name: shwetambari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 May 2003 Nationality: Indian
Place of Birth: mumbai Personal Identification Mark: Aadhaar card
Blood Group: B + Address for Communication: Shree rajal park room no 401 plot no 14 sec 17 roadpali
State: Maharashtra Country: India
Pin: 410218 City/District: Navi Mumbai
Mobile no: 9324861370 Telephone No. with STD code: 09324861370
Aadhar Card No:711833298971 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Prashant bhoite Relationship with candidate: father
Parents Date of Birth: 17 Aug 1977 Parent's/Guardian's Occupation/Designation: Travel agency
Office Address:
Address: Shree rajal park room no 401 plot no 14 sec 17 roadpali
Country: India State: Maharashtra
City/District: Navi Mumbai Pin: 410218
Tel: 09324861370 Mobile no.: 9324861370
Fax: Email: siddheshbhoite07@gmail.c

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: panvel School: ssh jr college
City: kalamboli City: navi mumbai
English %: 64 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Centre code:
  Address of School/College: near Sushma patil school , Kamothe
  Pin: 410218
  Contact Nos: 09324861370
  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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