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: DEG2180368
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Goswami Sandhya Santosh
Mother's Name: Sangeeta
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jun 2002 Nationality: Indian
Place of Birth: Ajiwali Personal Identification Mark: Mole on right shoulder
Blood Group: B +  
Date of Birth (DD/MM/YY): 15 Jun 2002 Nationality: Indian
Gender (M/F): Female 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: Jeevan sagar apartment Pl5 B3 sector 10 Khanda Colony
State: Maharashtra Country: India
Pin: 410206 City/District: Panvel
Mobile no: 7977408210 Telephone No. with STD code:
Aadhar Card No:723990393273 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Santosh Goswami Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1975 Parent's/Guardian's Occupation/Designation: Fruit vendor
Office Address:
Address: Sector-8, Khanda Colony Shivaji Chowk
Country: India State: Maharashtra
City/District: Panvel Pin: 410206
Tel: Mobile no.: 8828423736
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: AVB Phadke Vidyalaya School: Mahatma Junior College
City: Panvel City: Panvel
English %: 85 Board Roll No./Seat No.: M045700
Aggregate Percentage: 86 School/College Code: 9426
  Address of School/College: Sector-8, New Panvel
  Centre code: 2573
  Pin: 410206
  Contact Nos:
  Aggregate Percentage: 78
Details of Marks Secured in (10+2) Examination -

Physics 100 58 58
Chemistry 100 58 58
Mathematics 100 98 98
Physics, Chemistry & Mathematics combined Percentage: 71.33
English 100 82 82
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learned Chess
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I am interested in technicals.
Why do you wish to join TMI?: It is the best Maritime Institute in India with good training and placement percentage.
What are your hobbies?: Reading books, painting
What are your strengths?: Good communication skills
What are your weaknesses?: Perfectionism
How do you intend to meet the expenses of this program?: Bank Loan
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 ________________