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: DEG2182084
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: DIVYANSH SINGH
Mother's Name: KIRAN SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Sep 2000 Nationality: Indian
Place of Birth: Gonda up Personal Identification Mark: Seven til in my left hand
Blood Group: A +  
Date of Birth (DD/MM/YY): 20 Sep 2000 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: Gopsarai Ghancha Tarabganj gonda
State: Uttar Pradesh Country: India
Pin: 271309 City/District: Gonda
Mobile no: 8795737563 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ramesh singh Relationship with candidate: Father
Parents Date of Birth: 15 Jan 1976 Parent's/Guardian's Occupation/Designation: Agriculter
Office Address:
Address: Gopsarai Ghancha Tarabganj gonda
Country: India State: Uttar Pradesh
City/District: Gonda Pin: 271309
Tel: Mobile no.: 8795737563
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Uttar Pradesh Board: Uttar Pradesh
City: AYODHYA City: Ayodhya
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Address of School/College: Sahabganj faizabad
  Centre code:
  Pin: 24001
  Contact Nos:
  Email: arsh8004105292@gmail.con
  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 ?: Studing
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I like marine life
Why do you wish to join TMI?: It is a good colleg
What are your hobbies?: Playing cricket
What are your strengths?: My faimly
What are your weaknesses?: My faimly
How do you intend to meet the expenses of this program?: Own Resources
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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