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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG21101304
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Priyanshu Shukla
Mother's Name: Neelam Shukla
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jul 2004 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: Sharp Face
Blood Group: O -  
Date of Birth (DD/MM/YY): 31 Jul 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: 70 D-BLOCK SHYAM NAGAR
State: Uttar Pradesh Country: India
Pin: 208013 City/District: KANPUR
Mobile no: 8299289236 Telephone No. with STD code:
Aadhar Card No:6376 4677 8519 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Neelam Shukla Relationship with candidate: Mother
Parents Date of Birth: 03 Mar 1976 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Country: India State: Uttar Pradesh
City/District: Kanpur Pin: 208013
Tel: Mobile no.: 7081844016
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Pt. Deen Dayal Upadhyay Sanatan Dharma Vidhyalaya School: Pt.Deen Dayal Upadhyay Sanatan Dharma Vidhyalaya
City: KANPUR City: Kanpur
English %: 90 Board Roll No./Seat No.: 23669843
Aggregate Percentage: 85 School/College Code:
  Address of School/College: 3A/252, Machhuwanagar, Nawabganj
  Centre code:
  Pin: 208002
  Contact Nos:
  Aggregate Percentage: 74
Details of Marks Secured in (10+2) Examination -

Physics 100 82 82
Chemistry 100 72 72
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 74
English 100 72 72
IMU CET Application Number: CET21U1014449  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
10/2019 Cricket Inter School Cricket 2
09/2016 Basketball Inter House Basketball Boys 1
09/2016 Khokho Inter House KhoKho Boys 2
10/2019 Singing Inter House Singing Solo 1
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spent my time in preparing syllabus to crack different competition exams like NDA, NAVY SSR, IMUCET.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I love oceans, I would love directing huge ships, as well as I love to play with machines and it is my dream job as it would allow me to pursue my other dreams along with it.
Why do you wish to join TMI?: Best Placement and they focus more on Practical knowledge than Theories.
What are your hobbies?: Reading, Singing, Self Musing, Travelling and Adventure
What are your strengths?: My passion towards my dreams and My Parents
What are your weaknesses?: My possessiveness
How do you intend to meet the expenses of this program?: 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 ________________