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: DEG2179135
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Prabhakar Kumar Mandal
Mother's Name: Manda Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 May 2004 Nationality: Indian
Place of Birth: New delhi Personal Identification Mark: Boy
Blood Group: O +  
Date of Birth (DD/MM/YY): 22 May 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: 3/59 , Block-3 Moti Nagar New Delhi
State: Delhi Country: India
Pin: 110015 City/District: New Delhi
Mobile no: 8826336543 Telephone No. with STD code:
Aadhar Card No:4366 0020 2337 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Manda Devi Relationship with candidate: Mother
Parents Date of Birth: 16 May 1977 Parent's/Guardian's Occupation/Designation: House wife
Office Address:
Address: - - -
Country: India State: Delhi
City/District: New Delhi Pin: 110015
Tel: Mobile no.: 8826336543
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
City: New Delhi City: New Delhi
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Address of School/College: East Punjabi Bagh,New Delhi-110026
  Centre code:
  Pin: 110026
  Contact Nos: 28311317,28314757
  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 ?: After exams I want to relax and enjoy free time , will take care of physical health also i ll do many activities in which I see efficiency .
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes because seeing my interest in such options , I want to take this degree with my full efforts.
Why do you wish to join TMI?: Due to its good facaulty, facilities, placements.
What are your hobbies?: Playing cricket, volleyball, swimming, dancing.
What are your strengths?: Self confidence, hardwork
What are your weaknesses?: Emotional questions
How do you intend to meet the expenses of this program?: Bank Loan
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 ________________