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: DEG2169479
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Rajneesh Gautam
Mother's Name: Suneeta devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Nov 2002 Nationality: Indian
Place of Birth: India Personal Identification Mark: Cut mark on left thamb
Blood Group: B +  
Date of Birth (DD/MM/YY): 01 Nov 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: Village-Pandia , Post -Kunderki, District-Moradabad State -UP, India
State: Uttar Pradesh Country: India
Pin: 244001 City/District: Moradabad
Mobile no: 9548316091 Telephone No. with STD code:
Aadhar Card No:518637615449 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajesh kumar Relationship with candidate: Father
Parents Date of Birth: 20 Aug 1962 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Village-Pandia,Post-kunderki, District-Moradabad State-UP, India
Country: India State: Uttar Pradesh
City/District: Moradabad Pin: 244001
Tel: Mobile no.: 9917434737
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: JNV moradabad School: JNV moradabad
City: Moradabad City: Moradabad
English %: 74 Board Roll No./Seat No.: 25634282
Aggregate Percentage: 86 School/College Code: 84065
  Address of School/College: Kalewala
  Centre code: 8148
  Pin: 244601
  Contact Nos:
  Aggregate Percentage: 87
Details of Marks Secured in (10+2) Examination -

Physics 100 85 85
Chemistry 100 80 80
Mathematics 100 95 95
Physics, Chemistry & Mathematics combined Percentage: 86.67
English 100 89 89
IMU CET Application Number: 5001734  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
12/2018 Wrestling School games federation of india Participation
01/2016 Wrestling School games federation of india Participation
09/2018 Football NVS XXlX National Football Meet 2018 Second
09/2017 Football NVS 28th National Football meet 2017 Participation
How do you intend spending your time after completing class XII Final exams and before joining college ?: Plying Football and preparing for NDA
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I want became captain of ship
Why do you wish to join TMI?: One of best Institute for Marchant navy education
What are your hobbies?: I like play football and reading novels and traveling
What are your strengths?: I am a good sports person and my fitness
What are your weaknesses?: Easily believe in humanity
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet

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

Signature of Candidate



Date ________________