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: DEG21100939
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ankur Yadav
Mother's Name: Saroj Yadav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jun 2004 Nationality: Indian
Place of Birth: Pathankot Personal Identification Mark: Cut mark below left eye
Blood Group: A +  
Date of Birth (DD/MM/YY): 18 Jun 2004 Nationality: Indian
Gender (M/F): Male 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: 589/3 Prem nagar, near sec-12 gurugram
State: Haryana Country: India
Pin: 122001 City/District: Gurugram
Mobile no: 8810608358 Telephone No. with STD code:
Aadhar Card No:336905620689 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Saroj Yadav Relationship with candidate: Mother
Parents Date of Birth: 01 May 1979 Parent's/Guardian's Occupation/Designation: House wife
Office Address:
Address: 589/3 Prem nagar, near sec-12,gurgaon
Country: India State: Haryana
City/District: Gurugram Pin: 122001
Tel: Mobile no.: 8810608358
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya vidyalaya School: Kendriya vidyalaya
City: Gurugram City: Gurugram
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Address of School/College: Kendriya vidyalaya no-1,AFS, Sector-14, Gurugram
  Centre code:
  Pin: 122001
  Contact Nos:
  Aggregate Percentage: 91
Details of Marks Secured in (10+2) Examination -

Physics 100 94 94
Chemistry 100 86 86
Mathematics 100 94 94
Physics, Chemistry & Mathematics combined Percentage: 91.33
English 100 92 92
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for govt competitive exams and trying to improve my sports skillls in this period of time
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: After this I can get job in merchant Navy
Why do you wish to join TMI?: One of the top colleges for bsc in nautical science and marine engineering
What are your hobbies?: Outdoor activities, cycling
What are your strengths?: Good at academics and sports, leadership qualities
What are your weaknesses?: Loose temper very easily, lack of self confidence
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
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

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

Signature of Candidate



Date ________________