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: DEG2172591
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: SANJAY KUMAR MEENA
Mother's Name: BHAGWATI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Nov 2003 Nationality: INDIAN
Place of Birth: Alwar Personal Identification Mark: Mol on left forarm
Blood Group: AB +  
Date of Birth (DD/MM/YY): 04 Nov 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: Qtr no 2170 type 2 Ordanace factory estate itarsi Madhya Pradesh
State: Madhya Pradesh Country: India
Pin: 461122 City/District: Hoshangabad
Mobile no: 9691063739 Telephone No. with STD code:
Aadhar Card No:553581236008 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: RAMPRASAD Relationship with candidate: Father
Parents Date of Birth: 06 Jun 1976 Parent's/Guardian's Occupation/Designation: JWM
Office Address:
Address: Qtr no 2170 type 2 Ordanace factory estate itarsi Madhya Pradesh
Country: India State: Madhya Pradesh
City/District: Hoshangabad Pin: 461122
Tel: Mobile no.: 7999789467
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: K v no 1 of itarsi School: K v no 1 Ordnance factory Itarsi Hoshangabad MP
City: Itarsi City: Itarsi
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: Ordnance factory estate itarsi
  Centre code:
  Pin: 461122
  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 ?: Preparing for SPONSORSHIP and IMUCET
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical science is good option for me because I want to learn about how ship works and learn about navigation
Why do you wish to join TMI?: I wish to join TMI because it is a one of the best institute for maritime studies in India
What are your hobbies?: Playing cricket and reading books
What are your strengths?: Hardworking and dedicated to my work
What are your weaknesses?: Short tempered
How do you intend to meet the expenses of this program?: Own Resources
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 ________________