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: DEG2170352
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shubham Srivastava
Mother's Name: Shailja Srivastava
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Nov 2001 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: Mole on left cheek
Blood Group: B +  
Date of Birth (DD/MM/YY): 24 Nov 2001 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Shubham Srivastava Passport No.: Z5605354
Date of Expiry: 08 Oct 2029 Place of Issue: Ghaziabad
(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: 1608 Nicolas 2,Supertech CZAR Omicron 1
State: Uttar Pradesh Country: India
Pin: 201308 City/District: Greater Noida
Mobile no: 9953296430 Telephone No. with STD code:
Aadhar Card No:976484202516 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ami Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1967 Parent's/Guardian's Occupation/Designation: Purchase manager
Office Address:
Address: Mirza International Limited Unit 6, Plot no. 1A Sector -Ecotech 1, Extension 1
Country: India State: Uttar Pradesh
City/District: Greater Noida Pin: 201308
Tel: Mobile no.: 9891116431
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Ursuline Convent Senior Secondary School School: Aster Public School
City: Greater Noida City: Greater Noida
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Aster Public School, J-1,Delta 2 ,Greater Noida
  Centre code:
  Pin: 201310
  Contact Nos: 8010109090
  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 ?: Indulge in learning more about merchant navy And practicing more in sports like football, swimming.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As this is my passion and also I am seeing forward to Make it as my courier.
Why do you wish to join TMI?: I wish to join TMI as obviously it is the best in Marine Engineering and also because I find myself a suitable canditate for this field .And also, I have developed the quality of adaptation which is a key requirement for this field.
What are your hobbies?: Playing football, swimming
What are your strengths?: Adaptive, focused , creative, dedicated
What are your weaknesses?: Public speaking, creative writing
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Your passport 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 ________________