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: DEG7068246
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Gauttam Sudhir Sharma
Mother's Name: Rekha Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Aug 2003 Nationality: Hindu
Place of Birth: Rajasthan Personal Identification Mark: Nothing
Blood Group: A +  
Date of Birth (DD/MM/YY): 15 Aug 2003 Nationality: Hindu
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: Priyanka unit / Wing -B Room num -1001, ulwe, sec 18 Navi Mumbai
State: Maharashtra Country: India
Pin: 410206 City/District: Navi Mumbai
Mobile no: 8828305455 Telephone No. with STD code:
Aadhar Card No:807393437176 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sudhir sharma Relationship with candidate: Father
Parents Date of Birth: 09 Jul 1967 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: E-12 Raw house sec 12 Near M S E B office Kharghar Navi Mumbai
Country: India State: Maharashtra
City/District: Navi Mumbai Pin: 410210
Tel: Mobile no.: 9867655271
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: Ryan International school Kharghar School: Ryan international school Sanpada
City: Navi Mumbai City: Navi Mumbai
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 62 School/College Code:
  Address of School/College: Plot no -34, ST Nirankari marg , sec 10 Sanpada Navi Mumbai
  Centre code:
  Pin: 400705
  Contact Nos: 02227750429
  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 ?: By leaning new musical instruments.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it gives new opportunities and new experiences.
Why do you wish to join TMI?: As I have searched many institutes on Google but I have found TMI as the best option for my courier.
What are your hobbies?: Singing , playing guitar and cooking
What are your strengths?: I have a leadership qualitie.
What are your weaknesses?: Nothing
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 ________________