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: Manav Kamlesh Gor
Mother's Name: Komal kamlesh Gor
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Dec 2003 Nationality: Indian
Place of Birth: Gandhidham Personal Identification Mark: Tattoo
Blood Group: O -  
Date of Birth (DD/MM/YY): 15 Dec 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Manav Kamleshbhai Gor Passport No.: U6666131
Date of Expiry: 14 Dec 2030 Place of Issue: Ahmedabad
(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: Mahavir nagar Koday Koday kachchh mandvi,gujrat
State: Gujarat Country: India
Pin: 370460 City/District: Mandvi kutch
Mobile no: 7573826631 Telephone No. with STD code: 07573826631
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kamlesh Laxmidas Gor Relationship with candidate: Father
Parents Date of Birth: 25 Sep 1978 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: 145, Mahavir Nagar, Koday Pull Kutch
Country: India State: Gujarat
City/District: Mandvi Pin: 370460
Tel: 07573826631 Mobile no.: 9099770330
Fax: Email:

Education and Academic Record :

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Details of Marks Secured in (10+2) Examination -

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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?:
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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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