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: DEG2169486
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jai Bansal
Mother's Name: Sonia bansal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Oct 2003 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: Small mole on left keg
Blood Group: A +  
Date of Birth (DD/MM/YY): 04 Oct 2003 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: A-149 lok vihar Pitampura
State: Delhi Country: India
Pin: 110034 City/District: Delhi
Mobile no: 9999689880 Telephone No. with STD code: 0119999689880
Aadhar Card No:405188293776 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sonia bansal Relationship with candidate: Mother
Parents Date of Birth: 20 Sep 1972 Parent's/Guardian's Occupation/Designation: House wife
Office Address:
Address: A-149 lok vihar Pitampura
Country: India State: Delhi
City/District: Delhi Pin: 110034
Tel: 0119999689880 Mobile no.: 9999689880
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: MM PUBLIC SCHOOL School: Mm public school
City: Delhi City: Delhi
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: A-149 lok vihar Pitampura
  Centre code:
  Pin: 110034
  Contact Nos: 9999689880
  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 ?: Personalilty development and focus on health
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: After getting degree in Nautical Science courses offered are highly paid
Why do you wish to join TMI?: TMI is well reputed and comes in 10 best colleges
What are your hobbies?: Listening to music and sports activities
What are your strengths?: I can get my work done even in obstacles
What are your weaknesses?: Inability to share my responsibilities
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 not uploaded Class XII marksheet not uploaded

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

Signature of Candidate



Date ________________