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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Vishal Kumar
Mother's Name: Rinku Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Aug 2002 Nationality: Indian
Place of Birth: Hajipur Bih Personal Identification Mark: Cut in right hand
Blood Group: B +  
Date of Birth (DD/MM/YY): 11 Aug 2002 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: Adalwari Buddha colony hajipur
State: Bihar Country: India
Pin: 844101 City/District: Vaishali
Mobile no: 8918934617 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rinku Devi Relationship with candidate: Mother
Parents Date of Birth: 10 Aug 1977 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Adalwari Buddha colony hajipur
Country: India State: Bihar
City/District: Vaishali Pin: 844101
Tel: Mobile no.: 9931338980
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya vidyalaya School: Kendriya vidyalaya
City: Gangtok City: New Delhi
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 9 School/College Code:
  Address of School/College: Rk puram sec 8 New Delhi
  Centre code:
  Pin: 110022
  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 ?: Going on tour visit new places and explore our culture. Trying to learn new things about our culture and tradition.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have interest in this field. It will provide me good opportunity in my life.
Why do you wish to join TMI?: Tmi provide us a good educational facilities and overall curricular activities and a well equipped trainee.
What are your hobbies?: Reading books, watching movies, riding bike, listing music, visit new places.
What are your strengths?: Focus, Integrity, family.
What are your weaknesses?: I focus too much in details.
How do you intend to meet the expenses of this program?: Own Resources,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 ________________

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