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: Apurv Maheshwari
Mother's Name: Meenu Maheshwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Nov 2000 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: No
Blood Group: B + Address for Communication: 9/168-f lohia vihar near RLB school 9/168-f lohia vihar near RLB school 9/168-f lohia vihar near RLB school
State: Uttar Pradesh Country: India
Pin: 226016 City/District: Lucknow
Mobile no: 7080949768 Telephone No. with STD code:
Aadhar Card No:634586746695 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Anand Maheshwari and Meenu Maheshwa Relationship with candidate: Son
Parents Date of Birth: 10 Jun 1969 Parent's/Guardian's Occupation/Designation: Service/ business
Office Address:
Address: Sec-18/20 Indra nagar Lucknow Sec-18/20 Indra nagar Lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226016
Tel: Mobile no.: 7080949768
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: St Dominic savio college School: Sherwood academy
City: Lucknow City: Lucknow
English %: 50 Board Roll No./Seat No.:
Aggregate Percentage: 50 School/College Code:
  Centre code:
  Address of School/College: Sec-25 Sherwood academy Lucknow
  Pin: 226016
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
20/6/2017 Joined NCC A certificate I was a FLT CDT
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to spend my time in preparing imu cet exam and College exams so I can get good marks and I can teach young children of class 1 to 5
Why do you wish to join TMI?: TMI is one of the the best institute in India or even Asia for DNS and also because it has good quality of education and infrastructure.
What are your hobbies?: I love to play basketball in my free time and I am a good cook
What are your strengths?: Good learning skills, Always work hard to complete the task, physically fit and afraid to take difficulty project or work.
What are your weaknesses?: Introverted, too sensitive, attempting to please everyone
How do you intend to meet the expenses of this program?: Own Resources,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