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: Himanshu Bisht
Mother's Name: Basanti bisht
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Oct 2003 Nationality: Indian
Place of Birth: Haldwani Personal Identification Mark: Mole on forhead
Blood Group: A +  
Date of Birth (DD/MM/YY): 18 Oct 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: Shivpuri Jawahar jyoti damwadhunga Shivpuri jawahar jyoti damwadhunga
State: Uttaranchal Country: India
Pin: 263139 City/District: Haldwani
Mobile no: 7302162007 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Basanti bisht Relationship with candidate: Mother
Parents Date of Birth: 05 Jun 1969 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Shivpuri jawahar jyoti damwadhunga Shivpuri jawahar jyoti damwadhunga
Country: India State: Uttaranchal
City/District: Haldwani Pin: 263139
Tel: Mobile no.: 7409963209
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Inspiration sr sec school School: Inspiration sr sec school
City: Haldwani City: Haldwani
English %: 60 Board Roll No./Seat No.:
Aggregate Percentage: 58 School/College Code:
  Address of School/College: Near polysheet
  Centre code:
  Pin: 263139
  Contact Nos:
  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 ?: I would rather prepare for imu cet exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yeah a better option than just having diploma certificate
Why do you wish to join TMI?: A good environment for students
What are your hobbies?: Playing basketball and swimming
What are your strengths?: In a huge crowd i have the ability to express myself
What are your weaknesses?: Darkness
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 ________________

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