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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Muku maurya
Mother's Name: Sangeeta maurya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jul 2001 Nationality: Indian
Place of Birth: Kopa patti Personal Identification Mark: Two mole in face
Blood Group: AB +  
Date of Birth (DD/MM/YY): 21 Jul 2001 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Mukul maurya 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: Kopa patti Pratapgarh up Kopa patti Pratapgarh Kopa patti pratapgarh
State: Uttar Pradesh Country: India
Pin: 230124 City/District: Pratapgarh
Mobile no: 7800961419 Telephone No. with STD code: 7800961419
Aadhar Card No:881323104887 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ramsajeevan maurya Relationship with candidate: Papa
Parents Date of Birth: 12 Sep 1996 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Kopa Kopa patti Kopa patti
Country: India State: Uttar Pradesh
City/District: Pratapgarh Pin: 230124
Tel: Mobile no.: 7800961419
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2021 (Appearing for improvement)
Board: Uttar Pradesh Board: Uttar Pradesh
School: Moti Singh inter college saraybhikhari deosara School: Moti Singh inter college saraybhikhari deosara pratapgarh
City: Pratapgarh City: Pratapgarh
English %: 85 Board Roll No./Seat No.: 632106986
Aggregate Percentage: 82 School/College Code: 1170
  Address of School/College: Moti Singh inter college saraybhikhari deosara pratapgarh uttar Pradesh
  Centre code: 1170
  Pin: 230124
  Contact Nos: 7800961419
  Aggregate Percentage: 89
Details of Marks Secured in (10+2) Examination -

Physics 100 90 90
Chemistry 100 91 91
Mathematics 100 87 87
Physics, Chemistry & Mathematics combined Percentage: 89.33
English 100 87 87
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
09/2019 Cricket sports teams Football Badminton
Cricket sports teams Cricket Football forever Badminton
09/2016 Badminton Music Video editing
02/2018 Photo shoot Photography Video
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?:
Why do you wish to join TMI?: No
What are your hobbies?: Music
What are your strengths?: 5
What are your weaknesses?: Music
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan,Other - Personal information
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 ________________