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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Soumil Jain
Mother's Name: Payal Jain
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Apr 2003 Nationality: Indian
Place of Birth: Narsinghpur Personal Identification Mark: None
Blood Group: B +  
Date of Birth (DD/MM/YY): 26 Apr 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: Jasmine-502 Shalimar Township A.B. Road, Near Patel Motors Indore
State: Madhya Pradesh Country: India
Pin: 452010 City/District: Indore
Mobile no: 9302558473 Telephone No. with STD code:
Aadhar Card No:500618269710 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Peeyush Jain Relationship with candidate: Father
Parents Date of Birth: 22 Jun 1974 Parent's/Guardian's Occupation/Designation: Master Mariner F.G.
Office Address:
Address: Wallem Shipmanagement India Pvt Ltd Vale has Chambers, 1st floor, Plot No. B-6, Andheri New Link Road, Andheri West
Country: India State: Maharashtra
City/District: Mumbai Pin: 400053
Tel: Mobile no.: 7470496021
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Delhi Public School School: Delhi Public School
City: Indore City: Indore
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Address of School/College: Delhi Public School, DPS Campus, Nipania, Indore.
  Centre code:
  Pin: 452016
  Contact Nos: 07312444401
  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 ?: Prepare and appear for IMU-CET.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because my father is also Master in Merchant Navy, I am influenced and motivated by him.
Why do you wish to join TMI?: Due to reputation of the institute and good placement options.
What are your hobbies?: Basketball, Cricket, Swimming and Skating.
What are your strengths?: Presence of mind, common sense and adaption.
What are your weaknesses?: None.
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 ________________

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