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: DEG2177906
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Avinash kumar
Mother's Name: Asha devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Sep 2003 Nationality: Indian
Place of Birth: Jamui Personal Identification Mark: Small cut mark on right leg
Blood Group: A +  
Date of Birth (DD/MM/YY): 22 Sep 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: Maina chater , aliganj, jamui Maina chater, aliganj, jamui
State: Bihar Country: India
Pin: 811301 City/District: Jamui
Mobile no: 6202887143 Telephone No. with STD code:
Aadhar Card No:307142337699 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Avinash Kumar Relationship with candidate: Father
Parents Date of Birth: 22 Sep 1979 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Maina chater Maina chater, aliganj, jamui
Country: India State: Bihar
City/District: JAMUI Pin: 811310
Tel: Mobile no.: 6202887143
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Jnv munger School: Jnv vaishali
City: Munger City: Hazipur
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Address of School/College: Wafapur Sharma ,hazipur , vaishali
  Centre code:
  Pin: 844123
  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: 161767  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Continue my studies
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I hope career in this field
Why do you wish to join TMI?: My cousin study from their and his experience is better than others college
What are your hobbies?: Study
What are your strengths?: My knowledge
What are your weaknesses?: Social media, games
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 ________________