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: DEG2170325
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Satyam choudhary
Mother's Name: Rupam devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Sep 2003 Nationality: Indian
Place of Birth: BARUNI Personal Identification Mark: Cut on left hand
Blood Group: O +  
Date of Birth (DD/MM/YY): 21 Sep 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: Phulwaria 2 Choudhary tola Barauni Phulwariya choudhary tola
State: Bihar Country: India
Pin: 851112 City/District: BARUNI
Mobile no: 7479942585 Telephone No. with STD code: 09123296273
Aadhar Card No:443713314497 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajiv choudhary Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1983 Parent's/Guardian's Occupation/Designation: Shop keeper
Office Address:
Address: Phulwaria 2 Choudhary tola Barauni Phulwariya choudhary tola
Country: India State: Bihar
City/District: BARUNI Pin: 851112
Tel: 07979914669 Mobile no.: 7479942585
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: Global vision academy School: R. C. S. S college bihat
English %: 70 Board Roll No./Seat No.: 21010384
Aggregate Percentage: 67 School/College Code: 84006
  Address of School/College: Phulwaria 2 Choudhary tola Barauni
  Centre code: 7180
  Pin: 851112
  Contact Nos: 07479942585
  Aggregate Percentage: 72
Details of Marks Secured in (10+2) Examination -

Physics 100 82 82
Chemistry 100 72 72
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 74.67
English 100 72 72
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am preparing for imucet
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: To make a secure carrier in this field
What are your hobbies?: Playing cricket
What are your strengths?: Family
What are your weaknesses?: Nothing
How do you intend to meet the expenses of this program?: Other - Taking loan from money lender
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 ________________