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: DEG2170304
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Madan joshi
Mother's Name: Rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Oct 2002 Nationality: India
Place of Birth: Karwar Personal Identification Mark: Black mark on the left hand ring finger
Blood Group: B +  
Date of Birth (DD/MM/YY): 31 Oct 2002 Nationality: India
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: Kalgatgi road, Saraswathpur Near modern school H No 47 Dharwad
State: Karnataka Country: India
Pin: 580002 City/District: Dharwad
Mobile no: 9483710366 Telephone No. with STD code: 0836 796 3964
Aadhar Card No:2207 5021 2372 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Laxmikant D Relationship with candidate: Rani
Parents Date of Birth: 01 Jun 1972 Parent's/Guardian's Occupation/Designation: Government official
Office Address:
Address: Kalgatgi road, Saraswathpur Near modern school H No 47 Dharwad
Country: India State: Karnataka
City/District: Dharwad Pin: 580002
Tel: 08367963964 Mobile no.: 9449614309
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: K. E. Boards School: Prism
City: Dharwad City: Dharwad
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Kalgatgi road, Saraswathpur Near modern school H No 47 Dharwad
  Centre code:
  Pin: 580002
  Contact Nos: 08367963964
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
08/2015 Football District First
08/2017 Football Taluk First
8/2017 Football District Second
03/2021 Football District First
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing outdoor games and spending time with family and freinds
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It helps me to build good career
Why do you wish to join TMI?: TMI offers a degree of B. Sc nautical and has a good placement record with reputed shipping companies
What are your hobbies?: Playing football
What are your strengths?: Honesty
What are your weaknesses?: Self-awarenes
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 ________________