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: DEG2178785
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Raj Gaurav
Mother's Name: Anamika devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Feb 2003 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: White mark on hand
Blood Group: O +  
Date of Birth (DD/MM/YY): 05 Feb 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: Naya bazar dalpatti lakhisarai Naya bazar dalpatti
State: Bihar Country: India
Pin: 811311 City/District: Lakhisarai
Mobile no: 6203898560 Telephone No. with STD code:
Aadhar Card No:304794526086 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shankar kumar Relationship with candidate: Father
Parents Date of Birth: 26 Jan 1975 Parent's/Guardian's Occupation/Designation: Businessman
Office Address:
Address: Naya bazar dalpatti lakhisarai Naya bazar dalpatti
Country: India State: Bihar
City/District: Lakhisarai Pin: 811311
Tel: 06203898560 Mobile no.: 7991170051
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Kendriya vidyalaya School: Nezamia public school
City: Lakhisarai City: Patna
English %: 87 Board Roll No./Seat No.: 22647177
Aggregate Percentage: 87 School/College Code: 65228
  Address of School/College: Jamaludin chowk danapur patna
  Centre code: 6652
  Pin: 801105
  Contact Nos:
  Aggregate Percentage: 69
Details of Marks Secured in (10+2) Examination -

Physics 100 65 65
Chemistry 100 63 63
Mathematics 100 53 53
Physics, Chemistry & Mathematics combined Percentage: 60.33
English 100 79 79
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Nothing
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yee
Why do you wish to join TMI?: For join merchant navy
What are your hobbies?: Watching TV
What are your strengths?: Maths
What are your weaknesses?: Physic
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

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________