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: Sahil Umesh Otavanekar
Mother's Name: Tanvi
Gender (M/F): Male Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 29 Dec 2003 Nationality: Indian
Place of Birth: Kolhapur Personal Identification Mark: Black mole on chest
Blood Group: AB + Address for Communication: State-Maharashtra ,District-Sindhudurg ,Taluka-Vengurla At Post-Aravali,Shiroda Pin-416518
State: Maharashtra Country: India
Pin: 416518 City/District: Sindhudurg
Mobile no: 9527545323 Telephone No. with STD code:
Aadhar Card No:497313444278 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Umesh Dattatray Otavanekar Relationship with candidate: Father
Parents Date of Birth: 01 Apr 1967 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: State-Maharashtra ,District-Sindhudurg ,Taluka-Vengurla At Post-Aravali,Shiroda Pin-416518
Country: India State: Maharashtra
City/District: Sindhudurg Pin: 416518
Tel: Mobile no.: 9158345030
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: St Francis Xavier English Medium High School School: B.M.Gogate.Junior.College
City: Shiroda City: Shiroda
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Centre code:
  Address of School/College: State-Maharashtra ,District-Sindhudurg ,Taluka-Vengurla At Post-Aravali,Shiroda Pin-416518
  Pin: 416518
  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 ?: I will prepare for the entrance exam and focus on my personality development
Why do you wish to join TMI?: My relative who studied in tolani recommended me to join TMI
What are your hobbies?: Trekking,Swimming,Painting
What are your strengths?: Enthusiastic, hardworking,positive thinking
What are your weaknesses?: Creativity
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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