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.Tech. Marine Engineering
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aditya Prakash Rai
Mother's Name: Pramila Rai
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Nov 2003 Nationality: Indian
Place of Birth: Uttar Prade Personal Identification Mark: Mole on left upper side lip
Blood Group: A +  
Date of Birth (DD/MM/YY): 09 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: C120/123 Buxipur, Gorakhpur Gorakhpur, Uttar Pradesh
State: Uttar Pradesh Country: India
Pin: 273001 City/District: Gorakhpur
Mobile no: 6387767657 Telephone No. with STD code:
Aadhar Card No:218828708975 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Durga Prasad Rai Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1964 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: Junior High school ,Ahirauli Farenda, Gorakhpur Uttar Pradesh
Country: India State: Uttar Pradesh
City/District: Gorakhpur Pin: 273001
Tel: Mobile no.: 9415355046
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Uttar Pradesh Board: Uttar Pradesh
School: S.N Singh Inter College School: SN SINGH INTER COLLEGE
City: Sant Kabir Nagar City: Sant Kabir Nagar
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Centre code:
  Pin: 272125
  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 will be trying to improve in subjects that I think I am not upto the mark in and try some sports and exercise.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I always wanted to work in the naval sector and attain this degree will get me one step closer to working in the industry.
Why do you wish to join TMI?: It is one of the most reputed colleges for naval studies and has professional staff and has a great placement record.
What are your hobbies?: Ridi motor, learning about different types of engines used in motorcycle and cars and working out.
What are your strengths?: I can work hard and I never give up easily.
What are your weaknesses?: I am a bit weak at maths but nothing that cannot be solved.
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 ________________

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