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.Tech. Marine Engineering
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Raymond rozario
Mother's Name: Sheela esther
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 May 2004 Nationality: Indian
Place of Birth: Trichy Personal Identification Mark: Mole on left hand knee
Blood Group: O +  
Date of Birth (DD/MM/YY): 05 May 2004 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Raymond rozario 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: 1/121-1 middle street, mandalakottai Keelakuruchi post, Pattukottai, thanjavur-614015
State: Tamil Nadu Country: India
Pin: 614015 City/District: Thanjavur
Mobile no: 9677950918 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ruban Relationship with candidate: Father
Parents Date of Birth: 23 Aug 1976 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: 1/121-1,mandalakottai, keelakurichi po Pattukottai tk, thanjavur
Country: India State: Tamil Nadu
City/District: Thanjavur Pin: 614015
Tel: Mobile no.: 9790057553
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Tamil Nadu Board: Tamil Nadu
School: Gandhi matriculation higher secondary school School: Gandhi matriculation higher secondary school
City: Madukkur City: Madukkur
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: Gandhi matriculation higher secondary school Mahathma nagar, vikramam, madukkur -614903
  Centre code:
  Pin: 614903
  Contact Nos: 04373260277
  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 join gym to improve my weight
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I am interested in studying Marine engineering
Why do you wish to join TMI?: TMI was the best college for mariners so I wish To join TMI
What are your hobbies?: Driving, cleaning, traveling
What are your strengths?: My brain and my parents
What are your weaknesses?: Parents
How do you intend to meet the expenses of this program?: Own Resources
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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