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


  Dossier ID: DNS2174057
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Piyush Babaso Walkunde
Mother's Name: Pratibha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Mar 2003 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: Moles on stomach
Blood Group: A + Address for Communication: Warulwadi , Narayangaon ,junnar College road, warulwadi, Narayangaon
State: Maharashtra Country: India
Pin: 410594 City/District: Pune
Mobile no: 7447704697 Telephone No. with STD code:
Aadhar Card No:925865702555 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Walkunde Babaso kisan Relationship with candidate: Father
Parents Date of Birth: 20 Jul 1972 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: Narayangaon Warulwadi, Narayangaon
Country: India State: Maharashtra
City/District: Pune Pin: 410504
Tel: Mobile no.: 9860376495
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Shree Anantrao Kulkarni English medium school School: Grpsabnis junior college
City: Narayangaon City: Pune
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Centre code:
  Address of School/College: Warulwadi, Narayangaon
  Pin: 410504
  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
04/2021 Athletics District level Second position
09/2018 Athletics Zonal level First position
09/2019 Athletics District level Second position
11/2019 Athletics Student Olympics National Games First position
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading some autobiography , physics training workout, Etc.
Why do you wish to join TMI?: TMI is best institute in Asia for Marine studies and it Will help me in achieving my dreams.
What are your hobbies?: Sports, singing, travelling, taking challenges etc
What are your strengths?: Thinking about merits and demerits, focused, desciplined
What are your weaknesses?: Being a bit less social
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

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.