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.Tech. Marine Engineering
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Deokar Anjali Ramesh
Mother's Name: Suvarna
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Dec 2002 Nationality: Maharashtra
Place of Birth: Baramati Personal Identification Mark: None
Blood Group: AB +  
Date of Birth (DD/MM/YY): 15 Dec 2002 Nationality: Maharashtra
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: 416/wingB2 , Sangharsh sadan A.G.Pawar lane , Byculla east , ghodapdev Near mahada colony
State: Maharashtra Country: India
Pin: 400027 City/District: Mumbai
Mobile no: 8652393509 Telephone No. with STD code: 8652393509
Aadhar Card No:627936026716 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Suvarna Ramesh Deokar Relationship with candidate: Mother
Parents Date of Birth: 26 Jun 1985 Parent's/Guardian's Occupation/Designation: House wife
Office Address:
Address: Room no 416 wing B2 Sangharsh Sadan A G PawarLane byculla east Near mahada colony
Country: India State: Maharashtra
City/District: Mumbai Pin: 400027
Tel: 09137904820 Mobile no.: 8652393509
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Rosary High school School: Fr.agnel polytechnic
City: Mumbai City: Navi mumbai
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 67 School/College Code:
  Address of School/College: Juhu Chowpatty Marg, Juhu Nagar, Sector 9A, Vashi, Navi Mumbai
  Centre code:
  Pin: 400703
  Contact Nos: 02227771000
  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:  
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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