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.Tech. Marine Engineering
Dossier ID: DEG2169005
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Saksham Paliwal
Mother's Name: Pratibha Paliwal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Oct 2002 Nationality: Indian
Place of Birth: Jalandhar Personal Identification Mark: mark on forehead
Blood Group: B +  
Date of Birth (DD/MM/YY): 18 Oct 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Saksham Paliwal Passport No.: U4459612
Date of Expiry: 05 Jan 2031 Place of Issue: Jalandhar
(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: House no. 1 Punjabi bagh extension mithapur road jalandhar 211-A ranjit enclave lohar nangal jalandhar
State: Punjab Country: India
Pin: 144022 City/District: jalandhar
Mobile no: 7087209665 Telephone No. with STD code:
Aadhar Card No:578128732839 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Pratibha Paliwal Relationship with candidate: mother
Parents Date of Birth: 04 Dec 1974 Parent's/Guardian's Occupation/Designation: house wife
Office Address:
Address: House no. 1 Punjabi bagh extension mithapur road jalandhar 211-A ranjit enclave lohar nangal jalandhar
Country: India State: Punjab
City/District: jalandhar Pin: 144022
Tel: Mobile no.: 9914508778
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: innocent hearts school School: innocent hearts school
City: jalandhar City: jalandhar
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Address of School/College: green model town jalandhar
  Centre code:
  Pin: 144003
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would like to spend some time with my family and friends and some time on reading books to improve my vocabulary
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: because of my extra ordinary love towards ocean and ships and massive respect for seafarers this degree would be a good option for me
Why do you wish to join TMI?: as i was guided my mentor and good reputation of TMI
What are your hobbies?: reading sports cooking
What are your strengths?: my family and friends
What are your weaknesses?: i sometime find it difficult to approach to strangers
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 not uploaded Class XII marksheet not uploaded

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

Signature of Candidate



Date ________________