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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG21102119
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shreyansh upadhyay
Mother's Name: Kumkum devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Sep 2003 Nationality: Indian
Place of Birth: Varanasi Personal Identification Mark: Black dot in right hand
Blood Group: O +  
Date of Birth (DD/MM/YY): 18 Sep 2003 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: Hirakunj Door no. 261/1 Varanasi enclave colony
State: Uttar Pradesh Country: India
Pin: 221108 City/District: Varanasi
Mobile no: 7905013233 Telephone No. with STD code:
Aadhar Card No:618535642184 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vaibhav upadhyay Relationship with candidate: Uncle
Parents Date of Birth: 28 Jan 1988 Parent's/Guardian's Occupation/Designation: Researcher
Office Address:
Address: 773b Mahaveer puri colony Teliargunj
Country: India State: Uttar Pradesh
City/District: Prayagraj Pin: 211004
Tel: 07905013233 Mobile no.: 7838792010
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Divine sainik school School: Raj english school
City: Varanasi City: Varanasi
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code: 71299
  Address of School/College: Raj english school sarnath road paharia varanasi
  Centre code:
  Pin: 221007
  Contact Nos:
  Aggregate Percentage: 71
Details of Marks Secured in (10+2) Examination -

Physics 100 79 79
Chemistry 100 68 68
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 69.33
English 100 79 79
IMU CET Application Number: CET21U1002222  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Revising all topics
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: I want to join TMI for good and better place for education
What are your hobbies?: Badminton
What are your strengths?: I learn fast
What are your weaknesses?: Overconfidence
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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 ________________