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: Sachin
Mother's Name: Rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Sep 2000 Nationality: Indian
Place of Birth: Rohtak Personal Identification Mark: Cut on right hand
Blood Group: AB -  
Date of Birth (DD/MM/YY): 15 Sep 2000 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: Vpo jasia District rohtak Haryana
State: Haryana Country: India
Pin: 124303 City/District: Rohtak
Mobile no: 8307510253 Telephone No. with STD code:
Aadhar Card No:896662827654 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Roshan Relationship with candidate: Father
Parents Date of Birth: 14 Apr 1971 Parent's/Guardian's Occupation/Designation: Agriculture
Office Address:
Address: Dwarka sector 14 new delhi New delhi
Country: India State: Delhi
City/District: Dwarka Pin: 123393
Tel: Mobile no.: 8307510253
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Haryana Board: Haryana
School: Rps sr sec school School: Rps sr sec school
City: Rohtak City: Rohtak
English %: 88 Board Roll No./Seat No.: 3018218256
Aggregate Percentage: 82 School/College Code: 680
  Address of School/College: Vpo jasia District rohtak Haryana
  Centre code: 806
  Pin: 124303
  Contact Nos:
  Aggregate Percentage: 86
Details of Marks Secured in (10+2) Examination -

Physics 100 82 82
Chemistry 100 81 81
Mathematics 100 88 88
Physics, Chemistry & Mathematics combined Percentage: 83.67
English 100 92 92
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I used to spend my time in reading
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Of course
Why do you wish to join TMI?: It is my dream to travel the world
What are your hobbies?: Reading
What are your strengths?: I can understand easily
What are your weaknesses?: My weakness is cricket
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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