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: DEG2170783
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shivendra Tiwari
Mother's Name: Vandana Tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Oct 2004 Nationality: Indian
Place of Birth: Unnao Personal Identification Mark: Right hand mole
Blood Group: A +  
Date of Birth (DD/MM/YY): 19 Oct 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: Vill-akbarpur Post-sikandarpur karan Dist-unnao
State: Uttar Pradesh Country: India
Pin: 209801 City/District: Unnao
Mobile no: 9335163910 Telephone No. with STD code: 09335163910
Aadhar Card No:658800946926 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Pradeep Kumar Tiwari Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: Vill-Akbarpur Post-sikandarpur karan Unnao
Country: India State: Uttar Pradesh
City/District: Unnao Pin: 209801
Tel: 09335163910 Mobile no.: 9335163910
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Uttar Pradesh Board: Uttar Pradesh
School: Laxmi Narayan public inter College Bighapur School: Laxmi Narayan public inter College Bighapur unnao
City: Unnao City: Unnao
English %: 91 Board Roll No./Seat No.: 0984116
Aggregate Percentage: 88 School/College Code: 1135
  Address of School/College: Bighapur unnao
  Centre code: 0
  Pin: 209801
  Contact Nos: 09335163910
  Aggregate Percentage: 77
Details of Marks Secured in (10+2) Examination -

Physics 100 82 82
Chemistry 100 82 82
Mathematics 100 67 67
Physics, Chemistry & Mathematics combined Percentage: 77
English 100 75 75
IMU CET Application Number: CET21U1006261  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Books reading karke
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Good college
What are your hobbies?: Engineering
What are your strengths?: Ido hard work
What are your weaknesses?: I can not sing a song
How do you intend to meet the expenses of this program?: 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 ________________