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: Manas Agrawal
Mother's Name: Himani Agrawal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 May 2002 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Nothing
Blood Group: B +  
Date of Birth (DD/MM/YY): 19 May 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: B-102/1 R.D.S.O. Manak Nagar
State: Uttar Pradesh Country: India
Pin: 226011 City/District: Lucknow
Mobile no: 6388670839 Telephone No. with STD code: 06388670839
Aadhar Card No:293751511234 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Pramod Kumar Agrawal Relationship with candidate: Father
Parents Date of Birth: 31 Oct 1963 Parent's/Guardian's Occupation/Designation: Government service
Office Address:
Address: Research Designs and Standard Organization, Manak Nagar Alambagh
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226011
Tel: 06388670839 Mobile no.: 9450400883
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020 (Appearing for improvement)
Board: CBSE Board: CBSE
School: St marys convent inter college School: Mary gardiner convent school
City: Lucknow City: Lucknow
English %: 65 Board Roll No./Seat No.: 23672691
Aggregate Percentage: 67 School/College Code: 70934
  Address of School/College: Mg convent school , sector g , lda colony , kanpur road
  Centre code: 7194
  Pin: 226012
  Contact Nos: 8840309684
  Aggregate Percentage: 61
Details of Marks Secured in (10+2) Examination -

Physics 100 54 54
Chemistry 100 65 65
Mathematics 100 45 45
Physics, Chemistry & Mathematics combined Percentage: 54.67
English 100 60 60
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studing about the course and physical training
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Cause i am good with machines and i am interested in ships and i like oversea jobs which require my full potential
Why do you wish to join TMI?: Because the faculty of the college and placement records and there are extra curricular activities in the college so i can work on my social skills
What are your hobbies?: Sketching , doddling
What are your strengths?: Taking on challenges , dedication, taking criticism
What are your weaknesses?: Failure and distrust of crewmembers or friends
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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