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: DEG2171933
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Kirty patel
Mother's Name: Rinku kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 May 2002 Nationality: Indian
Place of Birth: India Personal Identification Mark: Black Mole on right side chest
Blood Group: B +  
Date of Birth (DD/MM/YY): 31 May 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Kirty patel 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: House no. 258 Rajendarnagar kunwar Singh road ulidhi dimna road Mango jamshedpur
State: Jharkhand Country: India
Pin: 831012 City/District: Jamshedpur
Mobile no: 8092285878 Telephone No. with STD code:
Aadhar Card No:708690217253 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sujit kumar Relationship with candidate: Father
Parents Date of Birth: 18 Jan 1972 Parent's/Guardian's Occupation/Designation: Private job
Office Address:
Address: Tata motors Telco jamshedpur
Country: India State: Jharkhand
City/District: Jamshedpur Pin: 831012
Tel: Mobile no.: 6205838608
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: South point schools School: Xaviers English high school
City: Jamshedpur City: Jamshedpur
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 62 School/College Code:
  Address of School/College: 206 tamolia east singhbhum jamshedpur
  Centre code:
  Pin: 831012
  Contact Nos:
  Email: prabhujeeschool_rrkl@yahoo
  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 have invested my time in developing and improving my Photography skills
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Its my passion to work in navigation field as a merchant navy engineer
Why do you wish to join TMI?: Because it is premier institute in the field of marine operations and affairs
What are your hobbies?: Photography
What are your strengths?: I dont lose hope easily
What are your weaknesses?: At times I tend to procrastinate
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 ________________