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: DEG2177655
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Patekar Prajwal Sanjay
Mother's Name: Aparna Sanjay Patekar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jun 2003 Nationality: Indian
Place of Birth: Nashik Personal Identification Mark: scar on left hand
Blood Group: B +  
Date of Birth (DD/MM/YY): 13 Jun 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Patekar Prajwal Sanjay Passport No.: P9657421
Date of Expiry: 12 Jun 2021 Place of Issue: Thane
(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: 4 D Akshar Estates near triangle garden kathe lane Dwarka Nashik
State: Maharashtra Country: India
Pin: 422011 City/District: Nashik
Mobile no: 8793226107 Telephone No. with STD code: 8793226107
Aadhar Card No:357616827335 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sanjay Patekar Relationship with candidate: Father
Parents Date of Birth: 08 Mar 1962 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: College Road Nashik
Country: India State: Maharashtra
City/District: Nashik Pin: 422011
Tel: 07263859529 Mobile no.: 9423968364
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Madhya Pradesh Board: Maharashtra
School: Nirmala Convent High School School: Shri Pramod Patil Jr College
City: Nashik City: Nashik
English %: 62 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: Gangapur Rd Anandvalli Nashik 422013
  Centre code:
  Pin: 422013
  Contact Nos:
  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 ?: by attending classes for various competitive exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: as naval sector is growing in India and this stream is different for other field
Why do you wish to join TMI?: it is one of renowned Institue in India
What are your hobbies?: Cycling,Cooking
What are your strengths?: Always eager to learn new things
What are your weaknesses?: a bit lazy
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet not uploaded

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________