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.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: RISHABH MISHRA
Mother's Name: SEEMA MISHRA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jan 2003 Nationality: INDIAN
Place of Birth: DELHI Personal Identification Mark: MOLE ON LEFT SHOULDER
Blood Group: B +  
Date of Birth (DD/MM/YY): 10 Jan 2003 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: A-1115 DURGA MARG MANDAWALI FAZALPUR DELHI-110092
State: Delhi Country: India
Pin: 110092 City/District: EAST DELHI
Mobile no: 9667559596 Telephone No. with STD code:
Aadhar Card No:611739005240 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: SEEMA MISHRA Relationship with candidate: MOTHER
Parents Date of Birth: 06 Apr 1975 Parent's/Guardian's Occupation/Designation: house wife
Office Address:
Country: India State: Delhi
City/District: EAST DELHI Pin: 110092
Tel: Mobile no.: 9650548445
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: bhai parmanand vidya mandir School: the mayo international school
City: delhi City: EAST DELHI
English %: 76 Board Roll No./Seat No.: 14658375
Aggregate Percentage: 69 School/College Code: 25036
  Address of School/College: near CBSE P.S-5, Hasanpur, I.P.Extension, Patparganj, New Delhi, Delhi 110092
  Centre code: 2663
  Pin: 110092
  Contact Nos:
  Aggregate Percentage: 66
Details of Marks Secured in (10+2) Examination -

Physics 100 67 67
Chemistry 100 64 64
Mathematics 100 52 52
Physics, Chemistry & Mathematics combined Percentage: 61
English 100 75 75
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I SPEND MY TIME BY PREPARING FOR JEE MAINS
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: there degree in marine engineering /nautical science gives a chance to live a life of adventure
Why do you wish to join TMI?: to become successful captain
What are your hobbies?: playing cricket
What are your strengths?: my family
What are your weaknesses?: high altitude places
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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