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.Sc. Nautical Science
Dossier ID: DEG2175754
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Harsh raj
Mother's Name: Premlata Kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Oct 2003 Nationality: Indian
Place of Birth: Nalanda Personal Identification Mark: A mole on chest
Blood Group: AB +  
Date of Birth (DD/MM/YY): 01 Oct 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: 9631059117 8789822310
State: Bihar Country: India
Pin: 803101 City/District: Nalanda
Mobile no: 9631059117 Telephone No. with STD code: 09631059117
Aadhar Card No:418319858140 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rakesh kumar Relationship with candidate: Father
Parents Date of Birth: 01 Apr 1996 Parent's/Guardian's Occupation/Designation: Business man
Office Address:
Address: Bihar Sharif Amber chowk
Country: United Kingdom State: Bihar
City/District: Nalanda Pin: 803101
Tel: 09631059117 Mobile no.: 9631059117
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021 (Appearing for improvement)
Board: Bihar Board: Bihar
School: Jagannathan high school School: Chanakya law of institute
City: Patna City: Patna
English %: 55 Board Roll No./Seat No.:
Aggregate Percentage: 45 School/College Code:
  Address of School/College: Patna mithapur
  Centre code:
  Pin: 803214
  Contact Nos: 09631059117
  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 ?: Only 12th
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical science
Why do you wish to join TMI?: It is best institute
What are your hobbies?: Journey
What are your strengths?: Family
What are your weaknesses?: Believe on every one
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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 ________________