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.Tech. Marine Engineering
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Yadavamuthiah
Mother's Name: Sarojini
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Aug 2003 Nationality: INDIAN
Place of Birth: Coimbatore Personal Identification Mark: Scar near eyebrows
Blood Group: B +  
Date of Birth (DD/MM/YY): 18 Aug 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: No656,annai mariya avenue TSP camp back side,veerapuram Avadi, chennai-55
State: Tamil Nadu Country: India
Pin: 600055 City/District: Chennai
Mobile no: 8939348567 Telephone No. with STD code:
Aadhar Card No:987165158834 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: kaliyaperumal Relationship with candidate: Father
Parents Date of Birth: 10 Jun 1978 Parent's/Guardian's Occupation/Designation: Teashop
Office Address:
Address: No 2/50 sundaram main street Vyasarpadi Chennai-39
Country: India State: Tamil Nadu
City/District: Chennai Pin: 600039
Tel: Mobile no.: 7299671501
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Tamil Nadu
School: KBCS Vivekananda vidyalaya 5 School: sec
City: Chennai City: Avadi
English %: 62 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Address of School/College: Narareth post,avadi
  Centre code:
  Pin: 600055
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
07/2016 Taek won do Bala boys under 35 Third
How do you intend spending your time after completing class XII Final exams and before joining college ?: Still going 12
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I am so interested in marine
Why do you wish to join TMI?: This college is good in marine engineering
What are your hobbies?: Gardening
What are your strengths?: My family
What are your weaknesses?: No
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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