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: DEG2168562
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: SARVAIYA KHUSHAL NARESHBHAI
Mother's Name: Kailasben
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Apr 2001 Nationality: Indian
Place of Birth: MAHUVA Personal Identification Mark: Khushal
Blood Group: B +  
Date of Birth (DD/MM/YY): 14 Apr 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: A35 Ashok nagar savarkundla road Nesvad,mahuva Bhavnagar
State: Gujarat Country: India
Pin: 364290 City/District: BHAVNAGAR
Mobile no: 9824973451 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Nareshbhai sarvaiya Relationship with candidate: Father
Parents Date of Birth: 05 Nov 1972 Parent's/Guardian's Occupation/Designation: Tailoring
Office Address:
Address: A35 ASHOKNAGAR Nesvad,mahuva Bhavnagar
Country: India State: Gujarat
City/District: MAHUVA Pin: 364290
Tel: Mobile no.: 9824973451
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Gujarat Board: Gujarat
School: Swaminarayan gurukul nesvad School: Mangal murti vidyalaya
English %: 60 Board Roll No./Seat No.: B 255871
Aggregate Percentage: 61 School/College Code: 471
  Address of School/College: 128, vishwkarma society,v.t.nagar,MAHUVA
  Centre code: 051
  Pin: 364290
  Contact Nos: 9824973451
  Aggregate Percentage: 69
Details of Marks Secured in (10+2) Examination -

Physics 150 112 74.67
Chemistry 150 86 57.33
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 69.33
English 100 53 53
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Colleg searched for engineering and spent some time with family
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Beacuse i like deck cadet.
Why do you wish to join TMI?: Because TMI is best mearchant navy college
What are your hobbies?: Play cricket as a all rounder
What are your strengths?: Hardworking
What are your weaknesses?: Speaking English
How do you intend to meet the expenses of this program?: Other - Relative
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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