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: DEG2178355
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Harshit Gupta
Mother's Name: Bela Gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Aug 2003 Nationality: India
Place of Birth: Uttrakhand Personal Identification Mark: Stich mark on right eyebrow
Blood Group: B +  
Date of Birth (DD/MM/YY): 25 Aug 2003 Nationality: India
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: L-44, Harilok Colony, Sarai Road Jwalapur
State: Uttaranchal Country: India
Pin: 249407 City/District: Haridwar
Mobile no: 7060185321 Telephone No. with STD code: 7060185321
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Bela Gupta Relationship with candidate: Mother
Parents Date of Birth: 28 Oct 1977 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: L-44, Harilok Colony, Sarai Road Jwalapur
Country: India State: Uttaranchal
City/District: Haridwar Pin: 249407
Tel: 07060185321 Mobile no.: 7060185321
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Montfort School Roorkee School: Acharyakulam
City: Haridwar City: Haridwar
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: Acharyakulam, Haridwar
  Centre code:
  Pin: 249407
  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 Studying For college entrance exams.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It has good scopes and a good pay scale.
Why do you wish to join TMI?: It is best known for maritime studies
What are your hobbies?: Very much interested in music
What are your strengths?: My Strengths Are Music And Singing
What are your weaknesses?: Lack of concentration
How do you intend to meet the expenses of this program?: Own Resources
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 ________________