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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Reenal mishal martia
Mother's Name: Shobha lavina martis
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Sep 2003 Nationality: Indian
Place of Birth: Udupi Personal Identification Mark: Mole on neck
Blood Group: O +  
Date of Birth (DD/MM/YY): 29 Sep 2003 Nationality: Indian
Gender (M/F): Female 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: Martis villa bantakal post udupi district kaup taluk 574115 Martis villa bantakal post
State: Karnataka Country: India
Pin: 574115 City/District: Udupi
Mobile no: 8970366440 Telephone No. with STD code:
Aadhar Card No:653376175840 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shobha lavina martis Relationship with candidate: Mother
Parents Date of Birth: 01 Jan 1965 Parent's/Guardian's Occupation/Designation: Flower merchant
Office Address:
Address: Martis villa bantakal post udupi district kaup taluk 574115 Martis villa bantakal post
Country: India State: Karnataka
City/District: Udupi Pin: 574115
Tel: Mobile no.: 9916227242
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: St johns academy high school School: St johns composite pu college
City: Udupi City: Udupi
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: St johms composite pu college shankerpura udupi
  Centre code:
  Pin: 574115
  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 will spend my time to prepare for competative exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because, since i have seen my relative working in this field I have developed interest in this field and i like to work hard
Why do you wish to join TMI?: According to my knowledge this is the best college and I want to pursue my degree from TMI
What are your hobbies?: Reading books ,playing sports ,watching vedios of different contries tradition life style etc
What are your strengths?: Politeness
What are your weaknesses?: Curiosity
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 ________________

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