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


  Dossier ID: DNS2178854
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Atharva vijay kavinkar
Mother's Name: Vidya vijay kavinkar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Aug 2003 Nationality: Indian
Place of Birth: Mangaon Personal Identification Mark: On back
Blood Group: A + Address for Communication: 513, at-khandad post-mangaon Mangaon, Raigad Maharashtra- 402104
State: Maharashtra Country: India
Pin: 402105 City/District: Raigad
Mobile no: 8080663486 Telephone No. with STD code:
Aadhar Card No:251710541664 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vijay kavinkar Relationship with candidate: Father
Parents Date of Birth: 30 May 1968 Parent's/Guardian's Occupation/Designation: Private service
Office Address:
Address: Pravin masale vale one suhana 55 Hadapsar ind estate, pune-13 Hadapsar- pune
Country: India State: Maharashtra
City/District: Raigad Pin: 402104
Tel: Mobile no.: 7498068407
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: S.S. Nikam English school and junior science College mangaon Raigad School: S.S Nikam English school and junior science College mangaon
City: Raigad City: Raigad
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Near kal river bhadav road Mangaon- Raigad
  Pin: 402104
  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
10/2019 Taekwondo National 3rd
09/2019 Handball District 1st
10/2017 Wushu Division 3rd
02/2021 Wushu State Lost
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will focus on my speaking skills and vocabulary, and I will also Increase my knowledge etc.
Why do you wish to join TMI?: As I have listened from many peoples and youtubers also that TMI is best for merchant navy .
What are your hobbies?: Sketching, playing outdoor games
What are your strengths?: I can do what I say
What are your weaknesses?: I get nervous many times.
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 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.