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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aftab Poswal
Mother's Name: Sureya begum
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jan 2003 Nationality: Indian
Place of Birth: Hamirpur Personal Identification Mark: Mark on face
Blood Group: O +  
Date of Birth (DD/MM/YY): 21 Jan 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: V.P.O Beha teh. Nadaun Distt. Hamirpur V.P.O Dhaneta teh. Nadaun Distt. Hamirpur
State: Himachal Pradesh Country: India
Pin: 177041 City/District: Hamirpur
Mobile no: 7580012115 Telephone No. with STD code: 7580012115
Aadhar Card No:275779111862 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mohammed salim Relationship with candidate: Father
Parents Date of Birth: 11 Oct 1975 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: V.P.O Beha teh. Nadaun Distt. Hamirpur V.P.O Dhaneta teh. Nadaun Distt. Hamirpur
Country: India State: Himachal Pradesh
City/District: Hamirpur Pin: 177041
Tel: 07580012115 Mobile no.: 9418449141
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Himachal Pradesh Board: Himachal Pradesh
School: Govt. Sec. Se. School Dhaneta School: Govt. Se. Sec. School Dhaneta
City: Hamirpur City: Hamirpur
English %: 59 Board Roll No./Seat No.: 2041545077
Aggregate Percentage: 70 School/College Code: 1545
  Address of School/College: V.P.O Beha teh. Nadaun Distt. Hamirpur
  Centre code: 1545
  Pin: 177041
  Contact Nos: 07580012115
  Aggregate Percentage: 66
Details of Marks Secured in (10+2) Examination -

Physics 100 63 63
Chemistry 100 60 60
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 65.67
English 100 59 59
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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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