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: UTKARSH PANDEY
Mother's Name: SHWETA PANDEY
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Jan 2001 Nationality: INDIAN
Place of Birth: GORAKHPUR Personal Identification Mark: CUT MARK ON RIGHT LEG
Blood Group: O +  
Date of Birth (DD/MM/YY): 28 Jan 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: 237/B shastri nagar Bichhiya Camp PAC Gorakhpur 237/B shastri nagar Bichhiya Camp PAC Gorakhpur
State: Uttar Pradesh Country: India
Pin: 273014 City/District: Gorakhpur
Mobile no: 7905846309 Telephone No. with STD code: 91
Aadhar Card No:396916827170 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajesh Pandey Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1970 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: 237/B shastri nagar Bichhiya Camp PAC Gorakhpur 237/B shastri nagar Bichhiya Camp PAC Gorakhpur
Country: India State: Uttar Pradesh
City/District: Gorakhpur Pin: 273014
Tel: 91 Mobile no.: 7905846309
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Uttar Pradesh Board: ISCE
School: Little flower school School: Little Flower school
City: Gorakhpur City: GORAKHPUR
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 66 School/College Code:
  Address of School/College: St Anthony Nagar Geeta vatika
  Centre code:
  Pin: 273014
  Contact Nos: 05512283454
  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
08/2013 Basketball 12 4th
08/2013 School head boy 4 Head boy
05/2018 Basketball 12 3th
06/2019 Basketball 12 4th
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will sharp my basketball skills
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes I will be blessed to have nautical science but BTech Marine engineering is my first priority
Why do you wish to join TMI?: Because of his excellence
What are your hobbies?: Reading basketball cricket and Jim
What are your strengths?: Determination
What are your weaknesses?: Calculus
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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