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: DEG2169585
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Patange Ayush Sagar
Mother's Name: Patange Roopali Sagar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Nov 2003 Nationality: Indian
Place of Birth: Karnataka Personal Identification Mark: A big Mole on back
Blood Group: AB +  
Date of Birth (DD/MM/YY): 12 Nov 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: P-13/C, BDTC Range hills Road , Kirkee Stn Wksp EME ,Kirkee
State: Maharashtra Country: India
Pin: 411029 City/District: Kolhapur
Mobile no: 8766843132 Telephone No. with STD code:
Aadhar Card No:350929935935 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Patange Sagar Manik Relationship with candidate: Father
Parents Date of Birth: 03 Mar 1974 Parent's/Guardian's Occupation/Designation: Subedar in INDIAN ARMY
Office Address:
Address: Stn wksp EME Kirkee BDTC, Range hills Road, Kirkee
Country: India State: Maharashtra
City/District: Kolhapur Pin: 411020
Tel: Mobile no.: 7720859240
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Army Public School Bolarum School: Army Public School Kirkee
City: Secunderabad City: Pune
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: BEG and centre, Kirkee
  Centre code:
  Pin: 411003
  Contact Nos:
  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 ?: Training on physical build up like Running, excercise and gym Learn new things to improve my creativity
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I had a dream to become a seafarer since my Childhood and I want to fulfill it at any cost. I have craze to know about Marine stuffs.
Why do you wish to join TMI?: Because it is the best Institute for Maritime Education in India.
What are your hobbies?: Playing Basketball, Cooking, Swimming, Reading and listening songs
What are your strengths?: I have good leadership qualities ,courage to deal with any difficult situation and good communication skills.
What are your weaknesses?: Sometimes I disobey my own commitments
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 not uploaded Class XII marksheet not uploaded

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

Signature of Candidate



Date ________________