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: NIHAL PAUL DSOUZA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jun 2003 Nationality: INDIA
Place of Birth: Mangalore Personal Identification Mark: **
Blood Group: O +  
Date of Birth (DD/MM/YY): 07 Jun 2003 Nationality: INDIA
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : NIHAL PAUL DSOUZA Passport No.: U2939823
Date of Expiry: 25 Jun 2021 Place of Issue: Mangalore
(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: Prem deep opposite bairady tank, padil mangalore ,karnataka Buntshostel,Tigris flat Melinamogaru near marina sports ,attavar,mangalore,
State: Karnataka Country: India
Pin: 575007 City/District: Dakshina kannada
Mobile no: 9741162085 Telephone No. with STD code: 0824
Aadhar Card No:582715583535 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: PRASAD JEETHAN DSOUZA Relationship with candidate: Father
Parents Date of Birth: 01 Mar 1972 Parent's/Guardian's Occupation/Designation: Store keeper
Office Address:
Address: Melinamogaru,attaver near marina sports Buntshostel,Tigris flat Prem deep opposite bairady tank, padil mangalore ,karnataka
Country: India State: Karnataka
City/District: Dakshina kannada Pin: 575007
Tel: 0824 Mobile no.: 9620115538
Fax: 0824 Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Karnataka Board: Karnataka
School: St.josephs English medium school School: St aloysius College
City: Mangalore City: Mangalore
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: Kodialbail , light house
  Centre code:
  Pin: 575003
  Contact Nos: 08242449717
  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 ?: Dancing
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I like it
Why do you wish to join TMI?: One of the best marine collage
What are your hobbies?: Listening to music
What are your strengths?: I
What are your weaknesses?: Height
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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