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: DEG2182060
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shivam kumar
Mother's Name: Rina devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2004 Nationality: Indian
Place of Birth: Dhanbad Personal Identification Mark: Mole on right shoulder
Blood Group: O -  
Date of Birth (DD/MM/YY): 12 Mar 2004 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: Gram deodharpur vivekanand colony, bad no 13, post tekari, thana tekari, tikari, gaya Bohiya, thana alipur, gaya
State: Bihar Country: India
Pin: 824236 City/District: Tekari
Mobile no: 8210879393 Telephone No. with STD code:
Aadhar Card No:364699303971 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Santosh kumar Relationship with candidate: Father
Parents Date of Birth: 15 Apr 1979 Parent's/Guardian's Occupation/Designation: Ex-serviceman army
Office Address:
Address: Vivekanand colony, tekari, gaya Bohiya,tekari,gaya
Country: India State: Bihar
City/District: Tekari Pin: 824236
Tel: Mobile no.: 8210879393
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Bihar Board: Bihar
School: Gyan bharti senior secondary school School: SNS college
City: Tekari City: Tekari
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Address of School/College: Tekari, gaya
  Centre code:
  Pin: 824236
  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 ?: After completing XII final exams, I was feeling soo relaxed and free, I spent my time by going on a tour and doing many type of fun activity.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes. Of course
Why do you wish to join TMI?: Becouse, TMI is one of the best college for btech marine engineering.
What are your hobbies?: Travelling
What are your strengths?: My patience is my strength.
What are your weaknesses?: My weakness is that I tend to trust people very easily.
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 ________________