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: DEG2168194
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Chaitanya Krsna Duggal
Mother's Name: Shilpa Duggal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jul 2003 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: NA
Blood Group: O +  
Date of Birth (DD/MM/YY): 21 Jul 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Chaitanya Krsna Duggal Passport No.: U8964246
Date of Expiry: 31 Mar 2031 Place of Issue: Delhi
(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: E-13 Kailash Colony Second Floor
State: Delhi Country: India
Pin: 110048 City/District: South Delhi
Mobile no: 8527560747 Telephone No. with STD code: 01140106399
Aadhar Card No:430826354851 E-mail: CHAITANYACD.DUGGAL@GMAIL.COM
Guardian's Particulars:
Name of Parent/Guardian: Ramnik Duggal Relationship with candidate: Father
Parents Date of Birth: 16 Apr 1978 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: 1073 Bara Bazar Kashmere Gate
Country: India State: Delhi
City/District: South Delhi Pin: 110048
Tel: 9810060747 Mobile no.: 9810060747
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: KR Mangalam World School School: KR Mangalam World School
City: Delhi City: Delhi
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: Greater Kailash Part 2, Delhi
  Centre code:
  Pin: 110048
  Contact Nos: 9911669888
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Gym, Swimming, Sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It gives an exposure in marine world and fulfills my dream of world travel
Why do you wish to join TMI?: Premier Institute having some of the best teachers and facilities to make me a Mariner. The webinar was very informative.
What are your hobbies?: Learning about places, gadgets and automobiles
What are your strengths?: Team Work, truth and Determination
What are your weaknesses?: Extra caring.
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 ________________