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: DEG2170001
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shashank Tiwari
Mother's Name: Reena Tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Mar 2004 Nationality: Indian
Place of Birth: Lucknoe Personal Identification Mark: Til on nose
Blood Group: A +  
Date of Birth (DD/MM/YY): 23 Mar 2004 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: 548 S/208 RDSO Gurudwara Near Pal AAta Chakki,Dhaindha Khera Surya Nagar Mankanagar
State: Uttar Pradesh Country: India
Pin: 226011 City/District: Lucknow
Mobile no: 8957180036 Telephone No. with STD code:
Aadhar Card No:224898187466 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Virendra Tiwari Relationship with candidate: Father
Parents Date of Birth: 20 Jun 1976 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: - -
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226011
Tel: Mobile no.: 9415542076
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: City Montessori school School: Lucknow public college
City: Lucknow City: Lucknow
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Address of School/College: A-70, Karbala Rd, Block A, Rajajipuram, Lucknow, Uttar Pradesh
  Centre code:
  Pin: 226017
  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 ?: House party
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is a good option for everyone who wish to pursue merchant navy as carrier
Why do you wish to join TMI?: Because of its placement record and teaching methods
What are your hobbies?: Playing cricket
What are your strengths?: Acting and comeding
What are your weaknesses?: Fight
How do you intend to meet the expenses of this program?: Own Resources,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 ________________