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: Sandip Datta Shinde
Mother's Name: Shobha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Apr 2003 Nationality: Indian
Place of Birth: Selu Personal Identification Mark: Point of mark on laft hand
Blood Group: O + Address for Communication: Dst parbhani Ta palam at selu Dst parbhani Ta palam at selu Dst parbhani Ta palam at selu
State: Maharashtra Country: India
Pin: 431720 City/District: Palam Dst parbhani
Mobile no: 9356908112 Telephone No. with STD code:
Aadhar Card No:939907756632 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Datta shinde Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Dst parbhani Ta palam at selu Dst parbhani Ta palam at selu Dst parbhani Ta palam at selu
Country: India State: Maharashtra
City/District: Parbhani Pin: 431401
Tel: Mobile no.: 9356908112
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: NVS marathavada high school parbhani School: Gokulanth kanishta higher secondary Aadgaon ranje
City: Parbhani City: Adagaon
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Centre code:
  Address of School/College: Dst Hingoli Ta basamat at Aadgaon
  Pin: 431512
  Contact Nos: 9356908112
  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 ?: Only maths study
Why do you wish to join TMI?: I like to join TMI
What are your hobbies?: Reading books
What are your strengths?: Solve the maths problem
What are your weaknesses?: Chemistry 2 is not entratade
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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