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: Parth Tiwari
Mother's Name: Seeta Tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Dec 2003 Nationality: Indian
Place of Birth: Allahabad Personal Identification Mark: cut on right chick
Blood Group: A +  
Date of Birth (DD/MM/YY): 02 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: E 1806 galaxy vaga techzone 4 link road noida greater noida west
State: Uttar Pradesh Country: India
Pin: 201306 City/District: gautam budha nagar
Mobile no: 7267092113 Telephone No. with STD code: 9621370188
Aadhar Card No:358492304440 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rakesh Tiwari Relationship with candidate: Father
Parents Date of Birth: 02 Jan 1971 Parent's/Guardian's Occupation/Designation: ENGINEER
Office Address:
Address: Wabag house no 17 200 feet radial road S kolathur chennai
Country: India State: Tamil Nadu
City/District: chennai Pin: 600117
Tel: Mobile no.: 7819066699
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: Golden jubilee public school School: Golden bells public school
City: Allahabad City: mohali
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: sec77 near suhana gurudwara mohali punjab
  Centre code:
  Pin: 140308
  Contact Nos: 9915808830
  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
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: this is my aim
Why do you wish to join TMI?: to get in merchant navy
What are your hobbies?: playing
What are your strengths?: motivation
What are your weaknesses?: distraction
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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