Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
  Dossier ID: DNS2180245
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Omkar Appa Sherkar
Mother's Name: Shobha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Aug 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Spot on the chest
Blood Group: AB + Address for Communication: Navade, tel-panvel, dist-raigad Sobalewadi, tel-parner, dist-ahmadnagar
State: Maharashtra Country: India
Pin: 414218 City/District: Ahmednagar
Mobile no: 9594712860 Telephone No. with STD code:
Aadhar Card No:795956813172 E-mail: sherkaromkar9594@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Appa Sherkar Relationship with candidate: Father
Parents Date of Birth: 02 Apr 1969 Parent's/Guardian's Occupation/Designation: Agriculture
   
Office Address:
   
Address: Kalamboli Kalamboli
Country: India State: Maharashtra
City/District: Mumbai Pin: 410218
Tel: Mobile no.: 9702913935
Fax: Email: sherkaromkar9594@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: P. J. M. V. Navade School: A. D. Mhatre. Jr. Clg. Navade
City: Mumbai City: Mumbai
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 100 School/College Code:
  Centre code:
  Address of School/College: Navade phata
  Pin: 410218
  Contact Nos:
  Email: sherkaromkar9594@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
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 ?: Watching titanic related movies and collecting travelling information
Why do you wish to join TMI?: This is a good institute
What are your hobbies?: Playing cricket
What are your strengths?: Playing cricket
What are your weaknesses?: Not
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.