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: DEG2174442
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ayush kumar singh
Mother's Name: Geeta singh
Gender (M/F): Male Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 07 Nov 2001 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: I have black spot on the back side of my ear
Blood Group: O +  
Date of Birth (DD/MM/YY): 07 Nov 2001 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Married
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: T1-002 unitech appartement south city lucknow T1-002 unitech appartement south city lucknow T1-002 unitech appartement south city lucknow
State: Uttar Pradesh Country: India
Pin: 226025 City/District: Lucknow
Mobile no: 6387175638 Telephone No. with STD code:
Aadhar Card No:387433167316 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Abhilakh singh Relationship with candidate: Father
Parents Date of Birth: 13 May 1965 Parent's/Guardian's Occupation/Designation: Govt.job/A.E
Office Address:
Address: Sitapur prakhand sarda canal sitapur Sitapur prakhand sarda canal sitapur Sitapur prakhand sarda canal sitapur
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226025
Tel: Mobile no.: 7570071222
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: CBSE
School: City montessori school School: The millennium school
City: Lucknow City: Lucknow
English %: 67 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: Raibareilly Rd, f block, south city, lucknow, uttar pradesh
  Centre code:
  Pin: 206010
  Contact Nos: 8188850333
  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:  
Vocational and Training Courses undertaken:
06/2020 Swimming 1 month
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation of imu cet
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because i have interest in marine life
Why do you wish to join TMI?: Because this is the best college
What are your hobbies?: Playing football
What are your strengths?: Mom and Dad
What are your weaknesses?: losing anybody i love
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 ________________