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: test
Mother's Name: Test
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Sep 2000 Nationality: Test
Place of Birth: Test Personal Identification Mark: Test
Blood Group: A +  
Date of Birth (DD/MM/YY): 08 Sep 2000 Nationality: Test
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: test Test
State: Manipur Country: Austria
Pin: test City/District: test
Mobile no: 9922599470 Telephone No. with STD code: 09999999999
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: test Relationship with candidate: test
Parents Date of Birth: 17 Feb 1982 Parent's/Guardian's Occupation/Designation: test
Office Address:
Address: test Test
Country: Austria State: Manipur
City/District: test Pin: test
Tel: 09999999999 Mobile no.: 9999999999
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ManiPuri Board: Maharashtra
School: test School: test
City: test City: test
English %: 58 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Address of School/College: test Test
  Centre code:
  Pin: test
  Contact Nos: 09999999999
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

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