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: DEG2179452
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Saksham Jaggi
Mother's Name: Neelam jaggi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Nov 2003 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Birth mark on leg
Blood Group: B +  
Date of Birth (DD/MM/YY): 05 Nov 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : SAKSHAM JAGGI Passport No.: RO499334
Date of Expiry: 04 Nov 2021 Place of Issue: Lucknow
(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: 1b/614 shri krishna vihar colony keshav nagar lucknow shri krishna vihar colony keshav nagar lucknow
State: Uttar Pradesh Country: India
Pin: 226020 City/District: Lucknow
Mobile no: 7505728231 Telephone No. with STD code: 07505728231
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Manoj jaggi Relationship with candidate: Good
Parents Date of Birth: 14 Sep 1979 Parent's/Guardian's Occupation/Designation: Police inspector
Office Address:
Address: 1b/614 shri krishna vihar colony keshav nagar lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226020
Tel: 07505728231 Mobile no.: 8004285020
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: The Millennium school School: Tha Millennium school
City: Lucknow City: Lucknow
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: 1b/614 shri krishna vihar colony keshav nagar lucknow
  Centre code:
  Pin: 226020
  Contact Nos: 07505728231
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
09/2019 Athletics School level 1st
06/2019 Badminton Distic level Runner up
Vocational and Training Courses undertaken:
05/2018 Robotics 3 months
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for competitive exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because i am interested in navigation ships related things
Why do you wish to join TMI?: Because of best faculty of all times
What are your hobbies?: Playing different sports
What are your strengths?: Creativity, Taking initiative
What are your weaknesses?: Insecure
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 ________________