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.Sc. Nautical Science
Dossier ID: DEG2171308
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sakshi Chauhan
Mother's Name: Jyoti Chauhan
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Sep 2002 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Mole on right hand
Blood Group: O +  
Date of Birth (DD/MM/YY): 25 Sep 2002 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : Sakshi Singh Chauhan Passport No.: U7218482
Date of Expiry: 29 Dec 2023 Place of Issue: Mumbai
(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: Flat No.7 Sagar Appartment Mora Road Uran Uran
State: Maharashtra Country: India
Pin: 400702 City/District: Navi Mumbai
Mobile no: 8828457291 Telephone No. with STD code:
Aadhar Card No:303036092811 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ram Narain Chauhan Relationship with candidate: Father
Parents Date of Birth: 14 Jan 1972 Parent's/Guardian's Occupation/Designation: Ex-Navy
Office Address:
Address: Abhimanyu, NAD Karanja Karanja
Country: India State: Maharashtra
City/District: Navi Mumbai Pin: 400702
Tel: Mobile no.: 9321305828
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya NAD Karanja School: Kendriya Vidyalaya Karanja
City: Navi Mumbai City: Navi Mumbai
English %: 88 Board Roll No./Seat No.: 15606026
Aggregate Percentage: 88 School/College Code: 34037
  Address of School/College: Kendriya Vidyalaya NAD Karanja, Kegaon Rd, Navi Mumbai
  Centre code: 3276
  Pin: 400704
  Contact Nos: 02227222132
  Aggregate Percentage: 85
Details of Marks Secured in (10+2) Examination -

Physics 100 76 76
Chemistry 100 88 88
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 81
English 100 95 95
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: looking forward to join classes of my hobbies
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: it is my dream to do this course
Why do you wish to join TMI?: it is the best college in india
What are your hobbies?: dancing
What are your strengths?: confident, straightforward
What are your weaknesses?: patience
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________