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: DEG2167937
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Vishal Kumar
Mother's Name: Ranjita Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Dec 2001 Nationality: India
Place of Birth: Allahabad Personal Identification Mark: Birth mark on back
Blood Group: A +  
Date of Birth (DD/MM/YY): 01 Dec 2001 Nationality: India
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: 183 Amol appt Tagore Town Allahabad Tagore Town
State: Uttar Pradesh Country: India
Pin: 211002 City/District: Allahabad
Mobile no: 9044871748 Telephone No. with STD code:
Aadhar Card No:8255 9279 9414 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rahul Kumar Relationship with candidate: FATHER
Parents Date of Birth: 28 Nov 1976 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: 183 Amol appt Tagore Town Allahabad Tagore Town
Country: India State: Uttar Pradesh
City/District: Allahabad Pin: 211002
Tel: Mobile no.: 9415216515
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: YMCA School: YMCA
English %: 70 Board Roll No./Seat No.: 23692126
Aggregate Percentage: 73 School/College Code: 70013
  Address of School/College: 13, Sarojini Naidu Marg, near A G office, Vivek Vihar Colony, Civil Lines, Prayagraj
  Centre code: 7240
  Pin: 211001
  Contact Nos: 09044871748
  Aggregate Percentage: 75
Details of Marks Secured in (10+2) Examination -

Physics 100 67 67
Chemistry 100 70 70
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 65.67
English 100 75 75
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
09/2019 Relay Race Cbse Cluster 3 rd Rank
11/2019 Inter House Football 1st position Match of the series
12/2019 800 m Race First Position Sports day
12/2019 200 m Race First Position Sports day
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for NDA
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes Scopes for nautical science is very Wide.
Why do you wish to join TMI?: Because my uncle suggested me
What are your hobbies?: Sports / Gaming
What are your strengths?: Sports
What are your weaknesses?: Chemistry
How do you intend to meet the expenses of this program?: Bank Loan
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 ________________