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: DEG2170281
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Arsgonda neha Paygonda
Mother's Name: pushpa
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Sep 2002 Nationality: Indian
Place of Birth: miraj Personal Identification Mark: no
Blood Group: B +  
Date of Birth (DD/MM/YY): 13 Sep 2002 Nationality: Indian
Gender (M/F): Female 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: A/p kanwad Near gram phanchyta Shirol
State: Maharashtra Country: India
Pin: 146103 City/District: Shirol
Mobile no: 8767196970 Telephone No. with STD code:
Aadhar Card No:901218473507 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Paygonda Jaypal Arsgonda Relationship with candidate: father
Parents Date of Birth: 01 Jun 1978 Parent's/Guardian's Occupation/Designation: 10
Office Address:
Address: A/p kanwad Shirol
Country: India State: Maharashtra
City/District: Shirol Pin: 146103
Tel: Mobile no.: 8195056646
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Deep public school School: Sharad science and commerce college
City: jaysingpur City: yadrav
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 61 School/College Code:
  Address of School/College: Near omkareshwar temple,yadrav- ichalkaranji
  Centre code:
  Pin: 416121
  Contact Nos: 08195056646
  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 ?: while preparing for cet.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I want to join merchant navy
Why do you wish to join TMI?: TMI is my dream
What are your hobbies?: Reading
What are your strengths?: family
What are your weaknesses?: Family
How do you intend to meet the expenses of this program?: Bank Loan
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 ________________