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: DEG21101491
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ayush Jaiswal
Mother's Name: Ruby Jaiswal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Dec 2002 Nationality: Indian
Place of Birth: Varanasi Personal Identification Mark: Accident mark on left leg
Blood Group: O +  
Date of Birth (DD/MM/YY): 29 Dec 2002 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: A3/81 trilochan bazaar varanasi Machodari Varanasi
State: Uttar Pradesh Country: India
Pin: 221001 City/District: Varanasi
Mobile no: 8887551959 Telephone No. with STD code: 8887551959
Aadhar Card No:223176039784 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sunil Jaiswal Relationship with candidate: Father
Parents Date of Birth: 15 Nov 1976 Parent's/Guardian's Occupation/Designation: Businessman
Office Address:
Address: A3/81 trilochan bazaar varanasi Machodari Varanasi
Country: India State: Uttar Pradesh
City/District: Varanasi Pin: 221001
Tel: 08887551959 Mobile no.: 8318644203
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: Guru Nanak English School School: BPS Public School
City: Varanasi City: Varanasi
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: Naubatpur Chandauli
  Centre code:
  Pin: 232104
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics, Chemistry & Mathematics combined Percentage:
IMU CET Application Number: 6006234  
How do you intend spending your time after completing class XII Final exams and before joining college ?: No
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Best way to become my dreams true
What are your hobbies?: Gym and cricket
What are your strengths?: Nothing
What are your weaknesses?: Nothing
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 not uploaded

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

Signature of Candidate



Date ________________