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: DEG2180047
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aditya Kumar Gupta
Mother's Name: Vimal devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Nov 2003 Nationality: Indian
Place of Birth: Nigahi Personal Identification Mark: Fair in colour
Blood Group: AB +  
Date of Birth (DD/MM/YY): 14 Nov 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: Main road Nawanagar Near Chandel garage District Singrauli
State: Madhya Pradesh Country: India
Pin: 486884 City/District: SINGRAULI
Mobile no: 6232350951 Telephone No. with STD code: 6232350951
Aadhar Card No:705000442834 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Dinesh Kumar Gupta Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1973 Parent's/Guardian's Occupation/Designation: Buisnesman
Office Address:
Address: Main road nawanagar Near Chandel garaga District Singrauli
Country: India State: Madhya Pradesh
City/District: Singrauli Pin: 486884
Tel: 07000019278 Mobile no.: 7000019278
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Dav public school School: Dav public school
City: Waidhan City: Waidhan
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Nigahi colony ncl
  Centre code:
  Pin: 486884
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study for competitive exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Best college and good for extra curricular activities
What are your hobbies?: Reading book
What are your strengths?: When I doing any work I will never left before finishing
What are your weaknesses?: I can do one work at one time
How do you intend to meet the expenses of this program?: Own Resources
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 ________________