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: Jashwant kumar
Mother's Name: Sanju Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 May 2004 Nationality: Hindu
Place of Birth: Bihar Personal Identification Mark: Cut on right hand plam
Blood Group: A +  
Date of Birth (DD/MM/YY): 06 May 2004 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: HIRA NAGAR BRAHMCHARI SHERPUR PATNA Sherpur
State: Bihar Country: India
Pin: 801503 City/District: Patna
Mobile no: 7488483405 Telephone No. with STD code: 07488483405
Aadhar Card No:436972280657 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kamlesh kumar Relationship with candidate: Father
Parents Date of Birth: 10 May 1977 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Country: India State: Bihar
City/District: Patna Pin: 801503
Tel: 08709811934 Mobile no.: 8709811934
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: Patmer school School: R.L.S.Y.SR.SEC.SCHOOL
City: Patna City: Patna
English %: 72 Board Roll No./Seat No.: 21010030
Aggregate Percentage: 70 School/College Code: 11085
  Address of School/College: Punichak patna
  Centre code: No
  Pin: 801503
  Contact Nos: 07488483405
  Aggregate Percentage: 74
Details of Marks Secured in (10+2) Examination -

Physics 100 76 76
Chemistry 100 56 56
Mathematics 100 82 82
Physics, Chemistry & Mathematics combined Percentage: 71.33
English 100 72 72
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: For preparing imucet exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I think this is best job for me
Why do you wish to join TMI?: Because It is good college for course
What are your hobbies?: Palying cricket
What are your strengths?: Determine
What are your weaknesses?: Stubborn
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 ________________

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