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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Piyush rana
Mother's Name: Sumitra rana
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Oct 2001 Nationality: Indian
Place of Birth: Rishikesh Personal Identification Mark: Cut on chin
Blood Group: B +  
Date of Birth (DD/MM/YY): 06 Oct 2001 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: Visthapit pashulok,Nirmal baag A Idpl,rishikesh
State: Uttaranchal Country: India
Pin: 249201 City/District: Dehradun
Mobile no: 8532837038 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Gambhir singh rana Relationship with candidate: Father
Parents Date of Birth: 10 May 1973 Parent's/Guardian's Occupation/Designation: Property dealing/farming
Office Address:
Address: Visthapit pashulok,Nirmal baag A Idpl, Rishikesh
Country: India State: Uttaranchal
City/District: Rishikesh Pin: 249202
Tel: Mobile no.: 8532837038
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Jawahar navodaya vidhyalaya School: Jawahar navodaya vidhyalaya
City: Dehradun City: Dehradun
English %: 84 Board Roll No./Seat No.: 25614158
Aggregate Percentage: 88 School/College Code: 84082
  Address of School/College: Shankarpur dehradun
  Centre code: 8059
  Pin: 248197
  Contact Nos:
  Aggregate Percentage: 90
Details of Marks Secured in (10+2) Examination -

Physics 100 89 89
Chemistry 100 85 85
Mathematics 100 91 91
Physics, Chemistry & Mathematics combined Percentage: 88.33
English 100 96 96
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Revision of class 11 and 12th maths ,physics and also giving to class 10 and students
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because i want a job which can provide me a world tour and as well as good salary.
Why do you wish to join TMI?: Because it is the one of the most reputed college in india in terms of placement and infrastructure especially.
What are your hobbies?: Visit new places,playing cricket and table tennis,watching movies.
What are your strengths?: I am very punctual and i never compromises with my responsibilities
What are your weaknesses?: I talk too much.
How do you intend to meet the expenses of this program?: Own Resources,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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