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.Sc. Nautical Science
Dossier ID: DEG2178347
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: HARISH D
Mother's Name: Kanimozhi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Feb 2004 Nationality: INDIAN
Place of Birth: Pune Personal Identification Mark: Mole in Left Thigh
Blood Group: O +  
Date of Birth (DD/MM/YY): 03 Feb 2004 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: 171/1 Vijayalakshmi Nagar Saravanampatti,Vilankurichi
State: Tamil Nadu Country: India
Pin: 641035 City/District: Coimbatore
Mobile no: 9003393224 Telephone No. with STD code: 09003393224
Aadhar Card No:448799158104 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Dhanabalan Relationship with candidate: Father
Parents Date of Birth: 03 May 1996 Parent's/Guardian's Occupation/Designation: ExService Man
Office Address:
Address: 171/1 Vijayalakshmi Nagar Saravanampatti,Vilankuruchi
Country: India State: Tamil Nadu
City/District: Coimbatore Pin: 641035
Tel: Mobile no.: 9677327103
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Amrita Vidyalayam School: Amrita Vidyalayam
City: Coimbatore City: Coimbatore
English %: 64 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code:
  Address of School/College: Ramasamy Nagar Extension II Nallampalayam
  Centre code:
  Pin: 641006
  Contact Nos: 6383619228
  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 ?: Due To Covid My Exams are postponded so in my intend time after completing my daily learning Time I Search and Gain the Knowledge about the Course and improving.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I Am Intrested In Nautical Science and related Works and I want to gain more knowledge about it.
Why do you wish to join TMI?: This is One of the Best College i Have Serached
What are your hobbies?: Reading Books,Coin Collection
What are your strengths?: Leadership Skill,Consentrated in Works
What are your weaknesses?: No
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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 ________________