Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )


Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ritika Singh
Mother's Name: Kamaljeet Kour
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 May 2003 Nationality: Indian
Place of Birth: Jammu Personal Identification Mark: Birth mark on left wrist
Blood Group: A +  
Date of Birth (DD/MM/YY): 11 May 2003 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
Address for Communication: 2/5 Hope well Apartments Shastri Nagar, Jammu, near Shiv Mandir
State: Jammu and Kashmir Country: India
Pin: 180004 City/District: Jammu
Mobile no: 8899441993 Telephone No. with STD code: 09419105479
Aadhar Card No:580864068054 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kamaljeet Kour Relationship with candidate: Mother
Parents Date of Birth: 16 Jan 1963 Parent's/Guardian's Occupation/Designation: Government Employee
Office Address:
Address: Bakshi Nagar Jammu
Country: India State: Jammu and Kashmir
City/District: Jammu Pin: 180004
Tel: 09419105479 Mobile no.: 8491987167
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Jammu & Kashmir Board: Jammu & Kashmir
School: Carmel Convent Higher Secondary School School: Carmel Convent Higher Secondary School
City: Jammu City: Jammu
English %: 95 Board Roll No./Seat No.: 31628750
Aggregate Percentage: 85 School/College Code:
  Address of School/College: Kunjwani , By pass Jammu
  Centre code: 31628
  Pin: 180010
  Contact Nos: 6005053434
  Aggregate Percentage: 94
Details of Marks Secured in (10+2) Examination -

Physics 100 95 95
Chemistry 100 95 95
Mathematics 100 98 98
Physics, Chemistry & Mathematics combined Percentage: 96
English 100 98 98
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
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:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth 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 ________________

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