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: DEG2180674
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jayesh kiran kapadne
Mother's Name: Manisha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Dec 2002 Nationality: Indian
Place of Birth: Dhule Personal Identification Mark: No mark
Blood Group: A +  
Date of Birth (DD/MM/YY): 09 Dec 2002 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: 8007374136 7517877868
State: Maharashtra Country: India
Pin: 422007 City/District: Nashik
Mobile no: 7517877868 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kiran Relationship with candidate: Father
Parents Date of Birth: 01 May 1996 Parent's/Guardian's Occupation/Designation: 11th pass
Office Address:
Address: 8007374136 7517877868
Country: India State: Maharashtra
City/District: Nashik Pin: 422007
Tel: Mobile no.: 7517877860
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Aadarsh madhyamik vidyalaya School: KTHM college of nashik
City: Nashik City: Nashik
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Address of School/College: Gangapur road, nashik
  Centre code:
  Pin: 422005
  Contact Nos: 8007374136
  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
09/2016 Kho kho School Raider
How do you intend spending your time after completing class XII Final exams and before joining college ?: Practice for swimming
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I like machinery
Why do you wish to join TMI?: Tmi is most reputed college for marine engineering
What are your hobbies?: Playing football and badminton and swimming
What are your strengths?: My leadership is good
What are your weaknesses?: Hard to live without family
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 ________________