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: DEG2168899
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ajith s
Mother's Name: Shymala M
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Oct 2002 Nationality: India
Place of Birth: India Personal Identification Mark: On left arm
Blood Group: O +  
Date of Birth (DD/MM/YY): 12 Oct 2002 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : AJITH Passport No.: U4563381
Date of Expiry: 17 Jun 2030 Place of Issue: KERALA
(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: Ajith nivas Kakkathode,para Elapully,Palakkad
State: Kerala Country: India
Pin: 678622 City/District: Palakkad
Mobile no: 7736435005 Telephone No. with STD code: 04912584216
Aadhar Card No:713393780397 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: V sivakumar Relationship with candidate: Father
Parents Date of Birth: 18 May 1969 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Kakkathode Para,elapully
Country: India State: Kerala
City/District: Palakkad Pin: 678622
Tel: 04912584216 Mobile no.: 9946411882
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Nilgiri public school School: Sree Narayana public school
City: Palakkad City: Palakkad
English %: 81 Board Roll No./Seat No.: 24630796
Aggregate Percentage: 66 School/College Code: 75217
  Address of School/College: Sree Narayan public school,kunnachi,Palakkad
  Centre code: 7663
  Pin: 678622
  Contact Nos: 04912583314
  Aggregate Percentage: 74
Details of Marks Secured in (10+2) Examination -

Physics 100 77 77
Chemistry 100 69 69
Mathematics 100 53 53
Physics, Chemistry & Mathematics combined Percentage: 66.33
English 100 89 89
IMU CET Application Number: 5002028  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing football tournaments,reading books
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I believe in me so i decided to join navy
Why do you wish to join TMI?: TMI is well known college and also company When we are searching for good colleges the tolani will be there
What are your hobbies?: Drawing,playing
What are your strengths?: Self confidence
What are your weaknesses?: Trust
How do you intend to meet the expenses of this program?: Bank Loan
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 ________________