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: DEG2176471
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Yashank Chauhan
Mother's Name: Anuj Chauhan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Dec 2001 Nationality: Indian
Place of Birth: Mainpuri Personal Identification Mark: Mark on left knee
Blood Group: AB +  
Date of Birth (DD/MM/YY): 16 Dec 2001 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: F-3/654B,Gali no-7,Sangam vihar Neem chowk land mark
State: Delhi Country: India
Pin: 110062 City/District: New delhi
Mobile no: 9953655286 Telephone No. with STD code:
Aadhar Card No:419828302703 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sandeep chauhan Relationship with candidate: Father
Parents Date of Birth: 15 Jul 1980 Parent's/Guardian's Occupation/Designation: Businessman
Office Address:
Address: F-3/654B,Gali no-7,Sangam vihar Land mark neem chowk
Country: India State: Delhi
City/District: New delhi Pin: 110062
Tel: Mobile no.: 7982679191
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board:
School: Tinu public school School: Adarsh shiksha mandir inter college
City: DELHI City: Bhagpat
English %: 76 Board Roll No./Seat No.: 210698203161
Aggregate Percentage: 76 School/College Code: 210698
  Address of School/College: Delhi saharanpur road kishanpur baral bhagpat
  Centre code:
  Pin: 250623
  Contact Nos: 8439861348
  Aggregate Percentage: 78
Details of Marks Secured in (10+2) Examination -

Physics, Chemistry & Mathematics combined Percentage:
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: At village
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: B
What are your hobbies?: Playing football
What are your strengths?: Learn things easily
What are your weaknesses?: Emotional
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 ________________