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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shivam Choudhary
Mother's Name: Chitralekha Choudhary
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Aug 2001 Nationality: Indian
Place of Birth: Jamshedpur Personal Identification Mark: Cut above left eye
Blood Group: O +  
Date of Birth (DD/MM/YY): 24 Aug 2001 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: Baridhi House No.-09
State: Jharkhand Country: India
Pin: 831017 City/District: Jamshedpur
Mobile no: 7909017422 Telephone No. with STD code: 08797271408
Aadhar Card No:561838414415 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Jatesh Chandra Choudhary Relationship with candidate: Father
Parents Date of Birth: 12 Nov 1967 Parent's/Guardian's Occupation/Designation: Ex Servicemen
Office Address:
Address: House No.- 09, Cross road no 08, D-Block, Bagun Nagar, Baridih East Singhbhum
Country: India State: Jharkhand
City/District: Baridih Colony Pin: 831017
Tel: 07909017422 Mobile no.: 8797271408
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2021
Board: CBSE Board: Jharkand
City: Jamshedpur City: Ranchi
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 68 School/College Code:
  Address of School/College: Getlatu, Ranchi
  Centre code:
  Pin: 834001
  Contact Nos:
  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:  
Vocational and Training Courses undertaken:
01/2021 Industrial Training One month
How do you intend spending your time after completing class XII Final exams and before joining college ?: By preparing for Marine Engineering and giving some to cricket.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I want to do Marine Engineering for joining Merchant navy.
Why do you wish to join TMI?: By seeing College review
What are your hobbies?: Photoshop
What are your strengths?: I remember anything for long time.
What are your weaknesses?: Taking time to understand things.
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 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 ________________

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