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: DEG2178531
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: SHARAYU VINOD AMBAGADE
Mother's Name: Chetna
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Nov 2003 Nationality: INDIAN
Place of Birth: Nagpur Personal Identification Mark: No
Blood Group: AB +  
Date of Birth (DD/MM/YY): 04 Nov 2003 Nationality: INDIAN
Gender (M/F): Female 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: 2010 Telipura pardi Bhandra road Nagpur Maharashtra
State: Maharashtra Country: India
Pin: 440035 City/District: Nagpur
Mobile no: 9807699992 Telephone No. with STD code: 8329364863
Aadhar Card No:839299378596 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vinod ambagade Relationship with candidate: Father
Parents Date of Birth: 11 Apr 1996 Parent's/Guardian's Occupation/Designation: Business man
Office Address:
Address: Pardi telipura nagpur, Maharashtra Pardi nagpur Bandra road Nagpur Maharashtra
Country: India State: Maharashtra
City/District: NAGPUR Pin: 440035
Tel: 09807699992 Mobile no.: 9807699992
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Lalitha public school School: lalita public school and jr collage
City: NAGPUR City: nagpur
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: ring road wardhaman nagar nagpur
  Centre code:
  Pin: 440035
  Contact Nos: 9373844445
  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 ?: exams are not done yet.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: ....
Why do you wish to join TMI?: because it is one of the best college which provides training for all courses and placment ratios are also good.
What are your hobbies?: reading and playing
What are your strengths?: my family.
What are your weaknesses?: sometimes lack of confidence
How do you intend to meet the expenses of this program?: Own Resources,Other - ..
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 ________________