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: DEG2170764
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Vipin kumar
Mother's Name: Punita devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Jul 2002 Nationality: INDIAN
Place of Birth: Sitamarhi Personal Identification Mark: A mole on the neck
Blood Group: A +  
Date of Birth (DD/MM/YY): 05 Jul 2002 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: Village Riga,p.o Riga,p.s Riga,sitamarhi Village Riga,p.o Riga,p.s Riga,sitamarhi Village Riga,p.o Riga,p.s Riga,sitamarhi
State: Bihar Country: India
Pin: 843327 City/District: Sitamarhi
Mobile no: 7646086710 Telephone No. with STD code:
Aadhar Card No:494754243741 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Manoj kumar Relationship with candidate: Father
Parents Date of Birth: 12 Jan 1970 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Village Riga,p.o Riga,p.s Riga,sitamarhi Village Riga,p.o Riga,p.s Riga,sitamarhi Village Riga,p.o Riga,p.s Riga,sitamarhi
Country: India State: Bihar
City/District: Sitamarhi Pin: 843327
Tel: Mobile no.: 9431884149
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: Balbhadra High School Babhangama sitamarhi School: S.R.K.G Sitamarhi
City: Sitamarhi City: Sitamarhi
English %: 41 Board Roll No./Seat No.: 20010472
Aggregate Percentage: 79 School/College Code: 32002
  Address of School/College: Sitamarhi
  Centre code: 330065
  Pin: 843301
  Contact Nos:
  Aggregate Percentage: 72
Details of Marks Secured in (10+2) Examination -

Physics 100 68 68
Chemistry 100 66 66
Mathematics 100 82 82
Physics, Chemistry & Mathematics combined Percentage: 72
English 100 65 65
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study for intarns examination of imucet
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because this is my dream job
Why do you wish to join TMI?: Suggestion of parents
What are your hobbies?: Play cricket
What are your strengths?: Good learner
What are your weaknesses?: My parents
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 ________________