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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Bala R
Mother's Name: Rajathi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Feb 2004 Nationality: Indian
Place of Birth: Melur Personal Identification Mark: One birth is exist left shoulder
Blood Group: O +  
Date of Birth (DD/MM/YY): 12 Feb 2004 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: N0 255 Door No 6A Balaji Nagar 9th cross street, Anakaputhur, Chennai-70
State: Tamil Nadu Country: India
Pin: 600070 City/District: Chennai
Mobile no: 9840634146 Telephone No. with STD code: 09840634146
Aadhar Card No:945731529144 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ramesh G Relationship with candidate: Father
Parents Date of Birth: 02 Mar 1975 Parent's/Guardian's Occupation/Designation: Software Engineer
Office Address:
Address: N0 255 Door No - 6A Balaji Nagar 9th cross street, Anakaputhur, Chennai-70
Country: India State: Tamil Nadu
City/District: Chennai Pin: 600070
Tel: 09840634146 Mobile no.: 9840634146
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Tamil Nadu Board: Tamil Nadu
School: Sankara Metriculation Higher Secondary School School: Sankara Vidyalaya Higher Sec School-Pammal-Tamilnadu
City: Chennai City: Chennai
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Address of School/College: N0 255 Door No - 6A Balaji Nagar 9th cross street, Anakaputhur, Chennai-70
  Centre code:
  Pin: 600070
  Contact Nos: 09840634146
  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 ?: Read books related to marine and ship.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: My Aim is to achieve in Nutical science .
Why do you wish to join TMI?: TMI is very famous university
What are your hobbies?: Reading books, Swimming and playing Football.
What are your strengths?: Hard work
What are your weaknesses?: I will do any work very fast but small mistakes may come.
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 ________________

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