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.Tech. Marine Engineering
Dossier ID: DEG2174010
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Deepanshu tiwari
Mother's Name: Anita tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Oct 2003 Nationality: Hindu
Place of Birth: Nasrullagan Personal Identification Mark: No
Blood Group: B +  
Date of Birth (DD/MM/YY): 18 Oct 2003 Nationality: Hindu
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: District-sehore Tehsil-nasrullaganj Village-nipaniya, post-satrana
State: Madhya Pradesh Country: India
Pin: 466331 City/District: Sehore
Mobile no: 7489144362 Telephone No. with STD code:
Aadhar Card No:316713577829 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Tukaram tiwari Relationship with candidate: Father
Parents Date of Birth: 25 May 1973 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Distric-sehore Tehsil-nasrullaganj Village-nipaniya, post-satrana
Country: India State: Madhya Pradesh
City/District: Sehore Pin: 466331
Tel: Mobile no.: 9754534711
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Rai saheb bhanwar singh public school sehore MP School: Rai saheb bhanwar singh public school sehore MP
City: Nasrullaganj City: Nasrullaganj
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: Nasrullaganj, Distric-sehore MP
  Centre code:
  Pin: 466331
  Contact Nos: 8602234080
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
10/2019 Kabaddi CBSE CLUSTER No
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing class Xll final exam I will spend my time by doing some work such as playing sports, learn some course for my bright future and Remaining time spend with family.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I thinked that degree in marine Engeneering/Nautical Science is good option for me because I want to become marine deck officer
Why do you wish to join TMI?: I wished to join TMI because so many people told about tmi is good collage for marine study and good knowlageble faculty also there thats why I choose tmi
What are your hobbies?: Sports such as competing on a team or in a league
What are your strengths?: My parents
What are your weaknesses?: No
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 ________________