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: DEG7067885
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: S Harish Rajan
Mother's Name: S Malini
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Nov 2003 Nationality: Indian
Place of Birth: India Personal Identification Mark: Nothing
Blood Group: B +  
Date of Birth (DD/MM/YY): 14 Nov 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: 69, A.P Shanmugam Street Virudhunagar
State: Tamil Nadu Country: India
Pin: 626001 City/District: Virudhunagar
Mobile no: 6385736085 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: N Suriya Rajan Relationship with candidate: Father
Parents Date of Birth: 16 Feb 1988 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: 69,A.P Shanmugam Street Virudhunagar
Country: India State: Tamil Nadu
City/District: Virudhunagar Pin: 626001
Tel: Mobile no.: 9843256085
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
City: Virudhunagar City: Virudhunagar
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Address of School/College: Collectorate,Virudhunagar
  Centre code:
  Pin: 626002
  Contact Nos:
  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 ?: By preparing for exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I am interested in marine engineering
Why do you wish to join TMI?: Because it is an reputed institution
What are your hobbies?: Playing outdoor games
What are your strengths?: Interest in collecting new information
What are your weaknesses?: Delay in doing my work by helping others
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 ________________