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.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Rajkumar Abhit Nitinchandra
Mother's Name: Ranjita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Dec 2003 Nationality: Indian
Place of Birth: Nagpur Personal Identification Mark: Scar on Nose
Blood Group: A +  
Date of Birth (DD/MM/YY): 25 Dec 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: Flat No 002, Lotus Building, M B Town 2, Zingabai Takli , Godhani Road Nagpur
State: Maharashtra Country: India
Pin: 440030 City/District: Nagpur
Mobile no: 9423278620 Telephone No. with STD code: 09423278620
Aadhar Card No:551152117021 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Nitinchandra S Rajkumar Relationship with candidate: Father
Parents Date of Birth: 13 Jul 1976 Parent's/Guardian's Occupation/Designation: Government Service,
Office Address:
Address: Civil Line Nagpur Nagpur
Country: India State: Maharashtra
City/District: Nagpur Pin: 440030
Tel: Mobile no.: 9423278620
Fax: 07122566623 Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Olympia School: Decent
City: Nagpur City: Nagpur
English %: 49 Board Roll No./Seat No.:
Aggregate Percentage: 54 School/College Code:
  Address of School/College: Sadar, behind sadar Police station
  Centre code:
  Pin: 440001
  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 ?: Reading books , making myself physically strong and mentally too
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it has a good scope in future and I would like to understand how marine engineering works
Why do you wish to join TMI?: Because you are giving a student a good future and everyone needs a good future and I think TMI can give me that one
What are your hobbies?: Playing badminton
What are your strengths?: Smart, intelligent, mature
What are your weaknesses?: Too smart for sone situations
How do you intend to meet the expenses of this program?: 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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