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.Sc. Nautical Science
Dossier ID: DEG2170391
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Deepak Kumar
Mother's Name: Santosh rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Jan 2004 Nationality: Indian
Place of Birth: Sadewala Personal Identification Mark: Deepak Kumar
Blood Group: A +  
Date of Birth (DD/MM/YY): 03 Jan 2004 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: Sadewala Sadewala Sadewala
State: Haryana Country: India
Pin: 125055 City/District: Sirsa
Mobile no: 7056138370 Telephone No. with STD code:
Aadhar Card No:852371929223 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Chander pal Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1976 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: SDO opp.ellenabad dhbvn SDO opp.rania dhbvn
Country: India State: Haryana
City/District: Sirsa Pin: 125055
Tel: Mobile no.: 7056138370
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Haryana Board: CBSE
School: Aarohi model Mahammadpuria School: V.n Rania
City: Sirsa City: Sirsa
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: V.n Rania near town park rania
  Centre code:
  Pin: 125055
  Contact Nos:
  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 ?: Nil
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I intersted in mechanical equipment of seagoing craft and docks so I chose marine engineer services
Why do you wish to join TMI?: Inaia top institute so I join it.
What are your hobbies?: Playing badminton
What are your strengths?: Speak truth,self confidence
What are your weaknesses?: Hyper sensitivity
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 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 ________________