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.Tech. Marine Engineering
Dossier ID: DEG2169178
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jaswanth kumar
Mother's Name: LALITHA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Sep 2003 Nationality: Hindu
Place of Birth: Anakapalli Personal Identification Mark: A mole on left hand little fingure
Blood Group: B +  
Date of Birth (DD/MM/YY): 07 Sep 2003 Nationality: Hindu
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: 01 Mar 2021 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: Sreenivas nagar Near nookambica temple Anakapalli
State: Andhra Pradesh Country: India
Pin: 531002 City/District: VISHAKHA
Mobile no: 7396199777 Telephone No. with STD code: 07396199777
Aadhar Card No:747228445230 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Lalitha Relationship with candidate: Mother
Parents Date of Birth: 26 Jan 1988 Parent's/Guardian's Occupation/Designation: Intermediate
Office Address:
Address: Sreenivas nagar Near nookambica temple Anakapalli
Country: India State: Andhra Pradesh
City/District: Vishaka Pin: 531002
Tel: Mobile no.: 7396199777
Fax: 531001 Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Andhra Pradesh Board: Andhra Pradesh
City: Vishakapatnam City: Vijayawada
English %: 9 Board Roll No./Seat No.:
Aggregate Percentage: 9 School/College Code:
  Address of School/College: Near p.v.p mall,passport office building.
  Centre code:
  Pin: 520002
  Contact Nos: 7396199777
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 150
Chemistry 150
Mathematics 300
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 ?: Sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes its good
Why do you wish to join TMI?: I searched in Google for meratine university its one of the good collage
What are your hobbies?: Watching movies nd playing wally boll
What are your strengths?: My confidence
What are your weaknesses?: My parents
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 ________________