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: GHULE RADHAKISAN BHAUSAHEB
Mother's Name: Janabai
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Sep 2001 Nationality: Indian
Place of Birth: Sarole Personal Identification Mark: Nnn
Blood Group: B +  
Date of Birth (DD/MM/YY): 18 Sep 2001 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Ghule radhakisan Bhausaheb Passport No.: K5456881
Date of Expiry: 29 Sep 2021 Place of Issue: Pune
(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: Xxc Ccc C
State: Maharashtra Country: India
Pin: 422620 City/District: AHEMADNAGAR
Mobile no: 9767037825 Telephone No. with STD code: Gg
Aadhar Card No:899504318373 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Xx Relationship with candidate: Xx
Parents Date of Birth: 02 Sep 1996 Parent's/Guardian's Occupation/Designation: Ccc
Office Address:
Address: Fff F
Country: India State: Maharashtra
City/District: Anagar Pin: 422620
Tel: Mobile no.: 8888888888
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021 (Appearing for improvement)
Board: Goa Board: CBSE
School: Uu School: Cc
City: SANGAMNER City: Ff
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Fff
  Centre code:
  Pin: 422620
  Contact Nos: 08888888888
  Aggregate Percentage: 88
Details of Marks Secured in (10+2) Examination -

Physics 100 88 88
Chemistry 100 88 88
Mathematics 100 88 88
Physics, Chemistry & Mathematics combined Percentage: 88
English 100 88 88
IMU CET Application Number: Xdcdss  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Cc
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Ccc
Why do you wish to join TMI?: C
What are your hobbies?: Cc
What are your strengths?: Cccx
What are your weaknesses?: X
How do you intend to meet the expenses of this program?: Other - Hh
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 ________________