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.Tech. Marine Engineering
Dossier ID: DEG2168553
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: saksham paliwal
Mother's Name: pratibha paliwal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Oct 2002 Nationality: Indian
Place of Birth: jalandhar Personal Identification Mark: mark on forehead
Blood Group: B +  
Date of Birth (DD/MM/YY): 18 Oct 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : saksham paliwal Passport No.: U4459612
Date of Expiry: 05 Jan 2031 Place of Issue: jalandhar
(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: punjabi bagh extension mithapur road jalandhar 211/A ranjit enclave lohar nangal jalandhar
State: Punjab Country: India
Pin: 144022 City/District: jalandhar
Mobile no: 7087209665 Telephone No. with STD code:
Aadhar Card No:578128732839 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: pratibha paliwal Relationship with candidate: mother
Parents Date of Birth: 04 Nov 1974 Parent's/Guardian's Occupation/Designation: house wife
Office Address:
Address: punjabi bagh extension mithapur road jalandhar 211/A ranjit enclave lohar nangal jalandhar
Country: India State: Punjab
City/District: jalandhar Pin: 144022
Tel: Mobile no.: 9914508778
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: innocent hearts school School: innocent hearts school
City: jalandhar City: jalandhar
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Address of School/College: punjabi bagh extension mithapur road jalandhar
  Centre code:
  Pin: 144022
  Contact Nos: 09914508778
  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 ?: i would like to work on my physique and English speaking skills and would like to spend some time with my family and friends
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i have an extra ordinary love for oceans and sea life and i feel a special kind of respect for seafearers
Why do you wish to join TMI?: i found TMI a well reputed college and i was recommended by my mentor
What are your hobbies?: reading sports cooking
What are your strengths?: my family and friends
What are your weaknesses?: i sometime find it difficult to approach to strangers
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 ________________