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: DEG2170248
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Yash Vardhan Gupta
Mother's Name: Aparna porwal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Mar 2003 Nationality: Indian
Place of Birth: Agra Personal Identification Mark: None
Blood Group: B +  
Date of Birth (DD/MM/YY): 16 Mar 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: Hn 4Ganesh vihar colony, Near ram Mohan Nagar UPSIDC ROAD Sikandra,agra
State: Uttar Pradesh Country: India
Pin: 282007 City/District: Agra
Mobile no: 8279563565 Telephone No. with STD code:
Aadhar Card No:809213116488 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Dharmendra Kumar Gupta Relationship with candidate: Father
Parents Date of Birth: 25 Nov 1981 Parent's/Guardian's Occupation/Designation: Private job
Office Address:
Address: Hn 4Ganesh vihar colony, Near ram Mohan Nagar UPSIDC ROAD Sikandra,agra
Country: India State: Uttar Pradesh
City/District: Agra Pin: 282007
Tel: Mobile no.: 8218173278
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: ISCE Board: ISCE
School: St Peters College agra School: Ragendra swarup public school
City: Agra City: Agra
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Hn 4Ganesh vihar colony, Near ram Mohan Nagar UPSIDC ROAD Sikandra,agra
  Centre code:
  Pin: 282007
  Contact Nos: 08218173278
  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 am a good dancer..i would like to polish my dancing skills ,i am gym addicted and would polish my physique.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Want to experience ship on life..i am guy who want to experience adventure.
What are your hobbies?: Dancing, photography.
What are your strengths?: I do have good communication skills,i am speaker who loves to speak.
What are your weaknesses?: I am aggresive.
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 ________________