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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Radha Dattatray Khade
Mother's Name: Pallavi
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Oct 2004 Nationality: Indian
Place of Birth: Kolhapur Personal Identification Mark: Mole on cheek
Blood Group: B +  
Date of Birth (DD/MM/YY): 04 Oct 2004 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : Radha Passport No.: 3636362598741
Date of Expiry: 01 Dec 2022 Place of Issue: Bangalore
(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: Pristine Prolife Phase 1 Wakad Datta Mandir Road
State: Maharashtra Country: India
Pin: 411057 City/District: Pune
Mobile no: 9741497579 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Pallavi Relationship with candidate: Mother
Parents Date of Birth: 04 Mar 1980 Parent's/Guardian's Occupation/Designation: House Maker
Office Address:
Address: NA NA
Country: India State: Maharashtra
City/District: Pune Pin: 410057
Tel: 09741497579 Mobile no.: 9741497579
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: Vibgyor School School: Vibgyor school
City: BANGALORE City: Bangalore
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: Thubarahalli ,Marathahalli
  Centre code:
  Pin: 560071
  Contact Nos: 09980077579
  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: 87547852148  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Joining foreign language classes
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes as i have the passion for same
Why do you wish to join TMI?: My interest is in marine
What are your hobbies?: Art
What are your strengths?: Communication
What are your weaknesses?: Public Speaking
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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