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: DNS2178530
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aditya Vijaykumar
Mother's Name: Vidya Vijaykumar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Dec 2003 Nationality: Indian
Place of Birth: PUNE Personal Identification Mark: Mole on Forehead and Left hand
Blood Group: O + Address for Communication: SUKHWANI RESIDENCY, FLAT NO. C-20, DAPODI,PUNE12 Sukhwani Residency, Flat No. C-20, Dapodi, Pune-12
State: Maharashtra Country: India
Pin: 411012 City/District: PUNE
Mobile no: 9049839069 Telephone No. with STD code:
Aadhar Card No:438020009163 E-mail: adivkr2730@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vijaykumar Shreedharan Relationship with candidate: son
Parents Date of Birth: 27 May 1970 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: SUKHWANI RESIDENCY, FLAT NO. C-20, DAPODI,PUNE12 Sukhwani Residency, Flat No. C-20, Dapodi, Pune-12
Country: India State: Maharashtra
City/District: PUNE Pin: 411012
Tel: Mobile no.: 9028043659
Fax: Email: vidyavijayakumar250@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: St. Joseph Boys High School School: Dr. D. Y. Patil Junior College
City: PUNE City: Pune
English %: 59 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Centre code:
  Address of School/College: Sector No.27-A, Near Lokmanya Hospital, Nigdi Pradhikaran, Akurdi, Pune-411044, India.
  Pin: 411044
  Contact Nos: 2027650313
  Email: info.pacs@dypvp.edu.in
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
07/2018 Ahtletics State 4th
05/2019 Swimming District 2nd
08/2018 Football District 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: If Covid-19 will be in control till then I will play various Football Tournaments also i will be preparing for IMUCET exam and interviews and will look forward to Join Gym for Fitness
Why do you wish to join TMI?: Its actually has been my one of the Dream to Join TMI also The Facilities are too good.
What are your hobbies?: To play various Sports, Travelling and Photography
What are your strengths?: Sports which i play and I am Emotionally Strong
What are your weaknesses?: Fear of losing someone whose close to me
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate 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.