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: Janhavi Rai
Mother's Name: Neelam Rai
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Oct 2001 Nationality: Indian
Place of Birth: Chandauli Personal Identification Mark: Scar on the left foot
Blood Group: B +  
Date of Birth (DD/MM/YY): 23 Oct 2001 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : Janhavi Rai Passport No.: V0350316
Date of Expiry: 23 Sep 2030 Place of Issue: LUCKNOW
(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 -Daina POST - Chandauli
State: Uttar Pradesh Country: India
Pin: 232106 City/District: Chandauli
Mobile no: 8948490537 Telephone No. with STD code:
Aadhar Card No:909302588919 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vinod Kumar Rai Relationship with candidate: Father
Parents Date of Birth: 03 Jan 1973 Parent's/Guardian's Occupation/Designation: self employed
Office Address:
Address: Ramnager Ramleela ground
Country: India State: Uttar Pradesh
City/District: Varanasi Pin: 221008
Tel: Mobile no.: 8318122746
Fax: Email:

Education and Academic Record :

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Details of Marks Secured in (10+2) Examination -

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IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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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