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: Vaidya Amrut Yashwant
Mother's Name: Nikita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jul 2001 Nationality: Indian
Place of Birth: SAKHARPA Personal Identification Mark: Nothing
Blood Group: B + Address for Communication: H no 381 at post kondgoan Muralidhar aali SAKHARPA Tal Sangmeshwar Dist-Ratnagiri
State: Maharashtra Country: India
Pin: 415801 City/District: Ratnagiri
Mobile no: 8169704913 Telephone No. with STD code: 07900044541
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Aniket Yashwant Vaidya Relationship with candidate: Brother
Parents Date of Birth: 07 Jul 1995 Parent's/Guardian's Occupation/Designation: Mariner
Office Address:
Address: Laxmi Saw Mill, Mumbai Goa national highway, at post Pali , tal-Ratnagiri Muralidhar aali SAKHARPA Tal Sangmeshwar Dist-Ratnagiri
Country: India State: Maharashtra
City/District: Ratnagiri Pin: 415803
Tel: 07900044541 Mobile no.: 7900044541
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Arundhati Arun Padhye English Medium school devrukh School: Meenatai Thakare Science Sadawali
City: Devrukh City: Devrukh
English %: 77 Board Roll No./Seat No.: W003604
Aggregate Percentage: 84 School/College Code: 2509008
  Centre code: 0651
  Address of School/College: Sadawali Tal-Sangameshwar Dist-Ratnagiri
  Pin: 415804
  Contact Nos:
  Aggregate Percentage: 74
Details of Marks Secured in (10+2) Examination -

Physics 100 64 64
Chemistry 100 62 62
Mathematics 100 73 73
Physics, Chemistry & Mathematics combined Percentage: 66.33
English 100 79 79
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 ________________

Print Summary and Application Form