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.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Pratham Singh
Mother's Name: Sushma Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Sep 2001 Nationality: Indian
Place of Birth: West Bengal Personal Identification Mark: Right leg
Blood Group: O +  
Date of Birth (DD/MM/YY): 17 Sep 2001 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: Sri Ram puram Colony Mohaddipur Near rkbk, Gorakhpur Gorakhpur
State: Uttar Pradesh Country: India
Pin: 273008 City/District: Gorakhpur
Mobile no: 9721481219 Telephone No. with STD code:
Aadhar Card No:405011331752 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sushma Singh Relationship with candidate: Mother
Parents Date of Birth: 25 Mar 1985 Parent's/Guardian's Occupation/Designation: House Wife
Office Address:
Address: Sri Ram puram colony Near rkbk Mohaddipur Gorakhpur
Country: India State: Uttar Pradesh
City/District: GORAKHPUR Pin: 273008
Tel: Mobile no.: 9721481219
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: G.D.Goenka Public School School: Don Bosco Senior Secondary
City: Gorakhpur City: Gorakhpur
English %: 60 Board Roll No./Seat No.:
Aggregate Percentage: 51 School/College Code:
  Address of School/College: Mahadev puram jharkhandi Gorakhpur
  Centre code:
  Pin: 273010
  Contact Nos: 8429984677
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
11/2019 Badminton School level 1
How do you intend spending your time after completing class XII Final exams and before joining college ?: By reading book and playing badminton
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because this is the only job which can travel me all over the world
Why do you wish to join TMI?: It is the best for nautical science
What are your hobbies?: Traveling
What are your strengths?: Nothing
What are your weaknesses?: Nothing
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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