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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Amul singh
Mother's Name: Babita singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Jul 2001 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: A cut on forehead
Blood Group: A +  
Date of Birth (DD/MM/YY): 27 Jul 2001 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: Mampur bana bakshi ka talaab Mampur bana bakshi ka talaab
State: Uttar Pradesh Country: India
Pin: 226201 City/District: Lucknow
Mobile no: 9140653650 Telephone No. with STD code: 09140653650
Aadhar Card No:404004879594 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Jitendra singh Relationship with candidate: Father
Parents Date of Birth: 30 Jul 1979 Parent's/Guardian's Occupation/Designation: Businessman
Office Address:
Address: Bana bakshi ka talaab Bana bakshi ka talaab
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226201
Tel: 09369342658 Mobile no.: 9140653650
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: St.mary inter college jankipuram ext School: St Mary inter college jankipuram ext
City: Lucknow City: Lucknow
English %: 95 Board Roll No./Seat No.: 5716668
Aggregate Percentage: 84 School/College Code: 54622
  Address of School/College: Jankipuram ext Lucknow
  Centre code: 0522
  Pin: 226201
  Contact Nos:
  Aggregate Percentage: 66
Details of Marks Secured in (10+2) Examination -

Physics 100 68 68
Chemistry 100 75 75
Mathematics 100 46 46
Physics, Chemistry & Mathematics combined Percentage: 63
English 100 80 80
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am doing coaching for nda
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As its my dream to go to merchant Navy
Why do you wish to join TMI?: As it is the best college for placements
What are your hobbies?: Playing cricket and mobile games
What are your strengths?: I do work with full dedication
What are your weaknesses?: I could not remember things for longer time
How do you intend to meet the expenses of this program?: Bank Loan
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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