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: Anugrah Punit Lakra
Mother's Name: Shanti Gloria Lakra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Oct 2000 Nationality: Indian
Place of Birth: Lohardaga Personal Identification Mark: mole on face
Blood Group: B +  
Date of Birth (DD/MM/YY): 13 Oct 2000 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: sovran toli bs college road po juriya ps lohardaga dis lohardaga jharkhand manjira po bishunpur ps bishunpur dis gumla jharkhand450196998732
State: Jharkhand Country: India
Pin: 835302 City/District: Lohardaga
Mobile no: 6207729082 Telephone No. with STD code: 906558307
Aadhar Card No:450196998732 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Suresh Lakra Relationship with candidate: father
Parents Date of Birth: 09 Jan 1964 Parent's/Guardian's Occupation/Designation: Bank employee
Office Address:
Address: sovran toli bs college road po juriya ps lohardaga dis lohardaga jharkhand manjira po bishunpur ps bishunpur dis gumla jharkhand450196998732
Country: India State: Jharkhand
City/District: Lohardaga Pin: 835302
Tel: Mobile no.: 9431528803
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Jharkand
School: Lievens Academy School: St Xaviers intermediate college
City: Lohardaga City: Ranchi
English %: 68 Board Roll No./Seat No.: 10353
Aggregate Percentage: 63 School/College Code:
  Address of School/College: Post Box No-9, Dr. Camil Bulcke Path. Ranchi, Jharkhand-834001.
  Centre code:
  Pin: 834001
  Contact Nos:
  Aggregate Percentage: 75
Details of Marks Secured in (10+2) Examination -

Physics 100 67 67
Chemistry 100 72 72
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 71.67
English 100 85 85
IMU CET Application Number: CET21U1007343  
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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