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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Vikas Jha
Mother's Name: Poonam Jha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Oct 2001 Nationality: Indian
Place of Birth: Haryana Personal Identification Mark: Black mol on forhead
Blood Group: B +  
Date of Birth (DD/MM/YY): 17 Oct 2001 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: Shiv colony gali.no1 PALLa no.1 Faridabad amar nagar
State: Haryana Country: India
Pin: 121003 City/District: Faridabad
Mobile no: 9667013104 Telephone No. with STD code:
Aadhar Card No:729430852839 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Phool Kumar Jha Relationship with candidate: Father
Parents Date of Birth: 02 Feb 1974 Parent's/Guardian's Occupation/Designation: Faridabad
Office Address:
Address: Faridabad Amar nagar PALLa no.1
Country: India State: Haryana
City/District: Faridabad Pin: 121003
Tel: Mobile no.: 9667013104
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: NIOS
School: Alphine valley Boarding school School: National institute of open schooling
City: Faridabad City: Faridabad
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: Bmr school palwal
  Centre code:
  Pin: 121003
  Contact Nos: 9667013104
  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 ?: Jee preparation
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Absolutely yess I interest in this
Why do you wish to join TMI?: I wanted to be become a traveller across the world may this option is better for me to..
What are your hobbies?: Travelling and playing cricket
What are your strengths?: Never give up in any worest situation
What are your weaknesses?: My laugh
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
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 ________________

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