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: DEG2171589
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jayant kaushik
Mother's Name: Rashmi kaushik
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Sep 2003 Nationality: Indian
Place of Birth: Haryana Personal Identification Mark: Nothing
Blood Group: O +  
Date of Birth (DD/MM/YY): 20 Sep 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: 8384993000 8560000676 8947000555
State: Rajasthan Country: India
Pin: 302012 City/District: Jaipur
Mobile no: 8560000676 Telephone No. with STD code: 0918560000676
Aadhar Card No:627776164982 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Krishan kumar kaushik Relationship with candidate: Father
Parents Date of Birth: 26 Aug 1970 Parent's/Guardian's Occupation/Designation: Broker
Office Address:
Address: F-1,128,ranjeet nagar,khatipura,jaipur F-1,128,ranjeet nagar,khatipura,jaipur
Country: India State: Rajasthan
City/District: Jaipur Pin: 302012
Tel: 01418947000555 Mobile no.: 8947000555
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Sanskar School: Sanskar
City: Jaipur City: Jaipur
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code: Sanskar
  Address of School/College: Sanskar school ,hanuman nagar,jaipur
  Centre code:
  Pin: 302012
  Contact Nos: 08947000555
  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 ?: More towards physical exercise
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Because it one of the best colleges in infia
What are your hobbies?: Cricket,cycling,travelling etc
What are your strengths?: Optimistic and listening
What are your weaknesses?: Talking too much
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 ________________