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.Sc. Nautical Science
Dossier ID: DEG2168107
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sushruti Arun Mishra
Mother's Name: Sarala Mishra
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Oct 2002 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Mole on left cheeks
Blood Group: A +  
Date of Birth (DD/MM/YY): 06 Oct 2002 Nationality: Indian
Gender (M/F): Female 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: Ashmita Jyoti CHS LTD A1/64 Marve Road
State: Maharashtra Country: India
Pin: 400095 City/District: Mumbai
Mobile no: 9923733392 Telephone No. with STD code: 919923733392
Aadhar Card No:659579750769 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sarala Arun Mishra Relationship with candidate: Mother
Parents Date of Birth: 17 May 1975 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Ashmita Jyoti CHS LTD A1/64 Marve Road
Country: India State: Maharashtra
City/District: Mumbai Pin: 400095
Tel: 918793343824 Mobile no.: 9923733392
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: Maharashtra
School: National English School School: Mithibai College of Arts.
City: Virar City: Mumbai
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: Mithibai College of Arts.
  Centre code:
  Pin: 4000
  Contact Nos: 42339000
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
08/2012 Kyu of Karate 8 8
08/2014 Pyramid Competition 1st 1st
03/2016 English Enrichment Course Intermediate O
12/2017 Interclass Volleyball Tournament Winners Winners
How do you intend spending your time after completing class XII Final exams and before joining college ?: Dance, Swimming, Karate, Badminton and preparation for entrances and interviews.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes, it is since I love to navigate and I do feel I have qualities of leadership.
Why do you wish to join TMI?: Apart from Mumbai itself, I really wish to study in Pune and for this field/profession TMI is best.
What are your hobbies?: Dance, Swimming, Reading
What are your strengths?: My MOM is my biggest strength. I have qualities of leadership. I have good communication skills I interrogate a lot before reaching to a conclusion.
What are your weaknesses?: Some time it is hard for me to take decisions. I do not have sleep schedule.
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 ________________