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.Sc. Nautical Science
Dossier ID: DEG2169396
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sarmistha Sarkar
Mother's Name: Meera
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Aug 2000 Nationality: Indian
Place of Birth: New Delhi Personal Identification Mark: Cut mark behind ear
Blood Group: A +  
Date of Birth (DD/MM/YY): 23 Aug 2000 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: 23 Mar 2030 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: defence colony 16/10
State: Delhi Country: India
Pin: 110048 City/District: New Delhi
Mobile no: 9873314355 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Parimal Relationship with candidate: Father
Parents Date of Birth: 08 Mar 1996 Parent's/Guardian's Occupation/Designation: retired
Office Address:
Address: defence colony 16/10
Country: India State: Delhi
City/District: New Delhi Pin: 110048
Tel: Mobile no.: 9873314355
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: KRM School: KRM
City: New Delhi City: New Delhi
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: defence colony 16/10
  Centre code:
  Pin: 110048
  Contact Nos: 09873314355
  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: 2345  
How do you intend spending your time after completing class XII Final exams and before joining college ?: studing and learnin Guiter
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: will get job opportunity
Why do you wish to join TMI?: Like Marine Engineers
What are your hobbies?: Studing story books
What are your strengths?: Hard working
What are your weaknesses?: None
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet not uploaded

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

Signature of Candidate



Date ________________