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: DEG2179758
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jatin kumar
Mother's Name: Kiran devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Mar 2003 Nationality: Hindu
Place of Birth: Others Personal Identification Mark: Mole on nose
Blood Group: B +  
Date of Birth (DD/MM/YY): 26 Mar 2003 Nationality: Hindu
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: VPO sankhol bahadurgarh jhajjar haryana VPO sankhol bahadurgarh jhajjar haryana
State: Haryana Country: India
Pin: 124507 City/District: Jhajjar
Mobile no: 9671404744 Telephone No. with STD code: 9671404744
Aadhar Card No:264697150889 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: SATPAL Relationship with candidate: Father
Parents Date of Birth: 10 Jun 1975 Parent's/Guardian's Occupation/Designation: Private service
Office Address:
Address: VPO sankhol bahadurgarh jhajjar haryana VPO sankhol bahadurgarh jhajjar haryana
Country: India State: Haryana
City/District: Others Pin: 124507
Tel: 8168218926 Mobile no.: 9671404744
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020 (Appearing for improvement)
Board: CBSE Board: CBSE
School: Vijaya sr sec school School: Delhi
City: Bahadurgarh City: Bahadurgarh
English %: 86 Board Roll No./Seat No.: 17641870
Aggregate Percentage: 76 School/College Code: 40624
  Address of School/College: Nuna majra village bahadurgarh
  Centre code: 4123
  Pin: 124507
  Contact Nos: 09671404744
  Aggregate Percentage: 71
Details of Marks Secured in (10+2) Examination -

Physics 100 67 67
Chemistry 100 59 59
Mathematics 100 49 49
Physics, Chemistry & Mathematics combined Percentage: 58.33
English 100 87 87
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: No
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Yes
What are your hobbies?: Sports
What are your strengths?: Physical fitness
What are your weaknesses?: Family
How do you intend to meet the expenses of this program?: Own Resources,Other - Internet
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 ________________