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: DEG2178423
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Achuth cs
Mother's Name: Viji
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jul 2003 Nationality: Indian
Place of Birth: India Personal Identification Mark: No
Blood Group: A +  
Date of Birth (DD/MM/YY): 19 Jul 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: Choondapurakal house Chemmannur Talappilly Thrissur
State: Kerala Country: India
Pin: 680503 City/District: Thrissur
Mobile no: 7012693223 Telephone No. with STD code:
Aadhar Card No:761180930352 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sunil Kumar cs Relationship with candidate: Father
Parents Date of Birth: 24 May 1972 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Choondapurakal house Chemmannur, kunnamkulam H.O Talappilly Thrissur
Country: India State: Kerala
City/District: Thrissur Pin: 680503
Tel: Mobile no.: 9846520791
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: SREE gokumalam public school School: SREE gokumalam public school
City: Thrissur City: Thrissur
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: Chittattukara
  Centre code:
  Pin: 680511
  Contact Nos: 9188630588
  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 ?: I think I should go any computer courses and also for spoken English courses.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think this course will provide me a good career for me and lead me to a better life.
Why do you wish to join TMI?: It is one of the best institute that provide a best knowledge and a better education.
What are your hobbies?: Playing football, listening music, cooking
What are your strengths?: Optimist, hardworker, good listener
What are your weaknesses?: I try to do things more perfection
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 ________________