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.Sc. Nautical Science
Dossier ID: DEG21100901
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Pakhurde Raj Ramesh
Mother's Name: Sushila
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Aug 2003 Nationality: Indian
Place of Birth: Mangavali Personal Identification Mark: Near ear
Blood Group: O +  
Date of Birth (DD/MM/YY): 04 Aug 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Pakhurde Raj Ramesh Passport No.: U395453
Date of Expiry: 18 Jul 2031 Place of Issue: Mumbai
(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: At- Mangavali, PO- Bamnoli Tal- Mangaon, Dist-Raigad
State: Maharashtra Country: India
Pin: 402104 City/District: Raigad
Mobile no: 7666950530 Telephone No. with STD code:
Aadhar Card No:798708731719 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sushila Relationship with candidate: Son
Parents Date of Birth: 01 May 1981 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: At- Mangavali, PO- Bamnoli Tal- Mangaon, Dist-Raigad
Country: India State: Maharashtra
City/District: Raigad Pin: 402104
Tel: Mobile no.: 9270301182
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Ss Nikam English School School: Ss Nikam English School
City: Raigad City: Raigad
English %: 68 Board Roll No./Seat No.: M044622
Aggregate Percentage: 86 School/College Code:
  Address of School/College: At- Bhadav Road, Post. Tal Mangaon, Dist. Raigad
  Centre code:
  Pin: 402104
  Contact Nos:
  Aggregate Percentage: 82
Details of Marks Secured in (10+2) Examination -

Physics 100 90 90
Chemistry 100 79 79
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 83.33
English 100 78 78
IMU CET Application Number: CET21U1003454  
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing class 12th I started imu cet preparation most of the time I use to study only and in free time I follow my hobbies.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Bsc Nautical Science is good option for me because my uncle is also a deck officer so I think it is good option.
Why do you wish to join TMI?: I think it is best institute for Bsc and BTech.
What are your hobbies?: Drawing, gymnasium, and making YouTube videos.
What are your strengths?: Self motivated , Hardworking and I have good observation skills.
What are your weaknesses?: When someone gives me a job by trusting me I cannot denied it I complete that work as soon as possible . I think this is my weakness because it takes lot of my time.
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________