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: sharatkumar lokesh naik
Mother's Name: sujata naik
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Jun 2003 Nationality: India
Place of Birth: kumta Personal Identification Mark: a black dot mark on right hand index finger
Blood Group: O + Address for Communication: 9482650779 kumta karnataka 9845677805
State: Karnataka Country: India
Pin: 581332 City/District: uttara kannada
Mobile no: 7483009913 Telephone No. with STD code: 08386
Aadhar Card No:207199651944 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: lokesh naik Relationship with candidate: father
Parents Date of Birth: 06 Jul 1972 Parent's/Guardian's Occupation/Designation: business
Office Address:
Address: 9482650779 kumta karnataka 9845677805
Country: India State: Karnataka
City/District: uttara kannada Pin: 581332
Tel: 08386 Mobile no.: 9482650779
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: colaba vithob shanbhag kalagkar high school School: saraswati pre university
City: uttara kannada City: uttara kannada
English %: 96 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: kumta karnataka
  Pin: 581332
  Contact Nos: 7483009913
  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: na  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
11/2013 karate championship 4th JKS interstate level third place
11/2014 karate championship state level first place
07/2014 karate championship district level first place
How do you intend spending your time after completing class XII Final exams and before joining college ?: by joining computer class
Why do you wish to join TMI?: because it is one of the best collage in India and because of good placement
What are your hobbies?: playing cricket and bike riding
What are your strengths?: being obedient
What are your weaknesses?: na
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 ________________

Print Summary and Application Form