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.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sahil Malik
Mother's Name: Santosh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Nov 2003 Nationality: India
Place of Birth: Haryana Personal Identification Mark: mark on right hand
Blood Group: O +  
Date of Birth (DD/MM/YY): 21 Nov 2003 Nationality: India
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: House No.-335, Sector-14, Rohtak ,Haryana, INDIA MOKHRA , ROHATAK , HARYANA, INDIA
State: Haryana Country: India
Pin: 124001 City/District: Rohtak
Mobile no: 8307719833 Telephone No. with STD code: 8307719833
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Santosh Relationship with candidate: Mother
Parents Date of Birth: 27 May 1980 Parent's/Guardian's Occupation/Designation: housewife
Office Address:
Address: House No.-335, Sector-14, Rohtak ,Haryana, INDIA MOKHRA , ROHATAK , HARYANA, INDIA
Country: India State: Haryana
City/District: Rohtak Pin: 124001
Tel: Mobile no.: 8307719833
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Model School School: Model School
City: Rohtak City: Rohtak
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Sector-4 , Rohtak ,Haryana
  Centre code:
  Pin: 124001
  Contact Nos: 08307719833
  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 ?: till now my final exam have not ended due to COVID-19
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think 3-4 year experience is better at college by under standing part by part
Why do you wish to join TMI?: I want to join TMI as per the recent placements by the TMI
What are your hobbies?: Running , Cycling
What are your strengths?: understanding situations , Maths ,
What are your weaknesses?: HIGHT , Physics
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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