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: DEG7068727
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Rohit
Mother's Name: Manju
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Sep 2001 Nationality: Indian
Place of Birth: Birohar Personal Identification Mark: Mole on right ear
Blood Group: A +  
Date of Birth (DD/MM/YY): 26 Sep 2001 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Rohit Passport No.: Z6238978
Date of Expiry: 26 Jan 2031 Place of Issue: Delhi
(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: H.No. 576 STREET 17 V.P.O Birohar Teh. Mahatnail Distt Jhajjar Haryana 124106
State: Haryana Country: India
Pin: 124106 City/District: Jhajjar
Mobile no: 8607000307 Telephone No. with STD code:
Aadhar Card No:864861079500 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Joginder Singh Relationship with candidate: Father
Parents Date of Birth: 15 Nov 1975 Parent's/Guardian's Occupation/Designation: Self Business
Office Address:
Address: Sehrawat Books Distributor Near Old Base Model School Loharu Road Charkhi Dadri 127306
Country: India State: Haryana
City/District: CHARKHI DADRI Pin: 127306
Tel: Mobile no.: 8607000307
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Base Model School School: Base Model School
City: Charkhi Dadri City: Charkhi Dadri
English %: 86 Board Roll No./Seat No.: 17608209
Aggregate Percentage: 90 School/College Code: 41029
  Address of School/College: Base Model School Kalyana Road Charkhi Dadri 127306
  Centre code: 4025
  Pin: 127306
  Contact Nos: 9416760751
  Aggregate Percentage: 89
Details of Marks Secured in (10+2) Examination -

Physics 100 82 82
Chemistry 100 95 95
Mathematics 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 86.67
English 100 87 87
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
01/2020 800m school level 2nd
How do you intend spending your time after completing class XII Final exams and before joining college ?: Due lockdown in our country i spend my time in my house by playing and by taking online classes.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: 100 percent placement through bsc nautical science in TMI.
Why do you wish to join TMI?: because it provide 100percent placement in bsc nautical science. It have good infrastructure and faculty.
What are your hobbies?: playing, studying
What are your strengths?: Leadership , Self motivation
What are your weaknesses?: creative writing
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________