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.Tech. Marine Engineering
Dossier ID: DEG2182937
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Devang Dubey
Mother's Name: Laxmi Dubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Oct 2003 Nationality: Indian
Place of Birth: Azamgarh Personal Identification Mark: Mole on left thigh
Blood Group: A +  
Date of Birth (DD/MM/YY): 10 Oct 2003 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: House no SS1640 , SECTOR H , LDA COLONY KANPUR ROAD, LUCKNOW Aashiyana
State: Uttar Pradesh Country: India
Pin: 226012 City/District: Lucknow
Mobile no: 6392032535 Telephone No. with STD code: 6392032535
Aadhar Card No:760975265564 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Brijesh Kumar Dubey Relationship with candidate: Father
Parents Date of Birth: 15 Dec 1973 Parent's/Guardian's Occupation/Designation: Private job
Office Address:
Address: Lucknow Uttar pradesh
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226012
Tel: Mobile no.: 8948830888
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Lucknow public school School: Lucknow public school
City: Lucknow City: Lucknow
English %: 97 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: Sector i lda colony lucknow
  Centre code:
  Pin: 226012
  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 ?: I love to explore the world . Due to this pandemic I am exploring the world through youtube.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I am a explorer . I love to visit new places . I think nautical science is good option.
Why do you wish to join TMI?: Best college in asia
What are your hobbies?: Exploring
What are your strengths?: Hardworking and daring
What are your weaknesses?: Emotional
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 Leaving / Transfer Certificate / Birth Certificate 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 ________________