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: Paras verma
Mother's Name: Sonia verma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Nov 2002 Nationality: Indian
Place of Birth: Rudrapur Personal Identification Mark: Mark on forefinger of right hand
Blood Group: B +  
Date of Birth (DD/MM/YY): 02 Nov 2002 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: Avas vikas gadarpur Home no. 184 ward no.5
State: Uttaranchal Country: India
Pin: 263152 City/District: Udham singh nagar
Mobile no: 7217488675 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Yashpal verma Relationship with candidate: Father
Parents Date of Birth: 15 Nov 1972 Parent's/Guardian's Occupation/Designation: tailor
Office Address:
Address: Super market Opposite hazarilal petrolpump
Country: India State: Uttaranchal
City/District: Udham singh nagar Pin: 263152
Tel: Mobile no.: 9837715118
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: St Marys School School: St Marys School
City: Gadarpur City: Gadarpur
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Address of School/College: Balram nagar road gadarpur
  Centre code:
  Pin: 263152
  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 ?: Keen to learb basics of stock market
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it is something related to my passion and also suits my personality
Why do you wish to join TMI?: Because of its discipline and supportive faculty
What are your hobbies?: Listening to music and cricket
What are your strengths?: Can access the situation very soon
What are your weaknesses?: One can see tension on my face
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 ________________

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