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: DEG2168981
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Deepak kannaujiya
Mother's Name: Vimla devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Jan 2002 Nationality: Indian
Place of Birth: kushinagar Personal Identification Mark: No one
Blood Group: O +  
Date of Birth (DD/MM/YY): 02 Jan 2002 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: ward no 17 ramroop tola tharuadhi hata kushinagar ward no 17 ramroop tola tharuadhi hata kushinagar
State: Uttar Pradesh Country: India
Pin: 274203 City/District: kushinagar
Mobile no: 9519208790 Telephone No. with STD code:
Aadhar Card No:272954183752 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: jai prakash kannaujiya Relationship with candidate: father
Parents Date of Birth: 14 Feb 1980 Parent's/Guardian's Occupation/Designation: farmer
Office Address:
Address: ward no 17 ramroop tola tharuadhi hata kushinaga same as
Country: India State: Uttar Pradesh
City/District: kushinagar Pin: 274203
Tel: 09956857025 Mobile no.: 9956857025
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Uttar Pradesh Board: CBSE
City: GORAKHPUR City: Gorakhpur
English %: 67 Board Roll No./Seat No.: 23643081
Aggregate Percentage: 81 School/College Code: 70515
  Address of School/College: KUSMHI GORAKHPUR
  Centre code: 7122
  Pin: 273002
  Contact Nos:
  Aggregate Percentage: 73
Details of Marks Secured in (10+2) Examination -

Physics 100 79 79
Chemistry 100 69 69
Mathematics 100 73 73
Physics, Chemistry & Mathematics combined Percentage: 73.67
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 ?: work upon the scenarios of building a career. and preparing for imu cet.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: ......
Why do you wish to join TMI?: In this instiute the quality of education very well and its placement very good than others instute.
What are your hobbies?: music cooking
What are your strengths?: Honesty, Self-control, Focused
What are your weaknesses?: Taking too many risks, Being too honest
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 ________________