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: Yuvraj singh
Mother's Name: Bibha singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2002 Nationality: India
Place of Birth: Supaul Personal Identification Mark: Mole on left chick
Blood Group: O +  
Date of Birth (DD/MM/YY): 12 Mar 2002 Nationality: India
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: Near kali mandir sikandarpur Muzaffarpur Near hospital Barail supual
State: Bihar Country: India
Pin: 842001 City/District: Muzaffarpur
Mobile no: 7004209973 Telephone No. with STD code:
Aadhar Card No:875313406463 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ajeet Kumar Singh Relationship with candidate: Father
Parents Date of Birth: 02 Jun 1975 Parent's/Guardian's Occupation/Designation: Police officer
Office Address:
Address: Near kali mandir sikandarpur Muzaffarpur Near hospital Barail supual
Country: India State: Bihar
City/District: Muzaffarpur Pin: 842001
Tel: Mobile no.: 9472699867
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: Ajdfj School: Evening college
City: Muzaffarpur City: SAHARSA
English %: 81 Board Roll No./Seat No.: 21010128
Aggregate Percentage: 74 School/College Code: 61029
  Address of School/College: Near Baijnath patti saharsa
  Centre code: 29626
  Pin: 852202
  Contact Nos:
  Aggregate Percentage: 66
Details of Marks Secured in (10+2) Examination -

Physics 100 68 68
Chemistry 100 58 58
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 64
English 100 72 72
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Nothing special
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Because this is perfect college
What are your hobbies?: Playing cricket
What are your strengths?: Understanding
What are your weaknesses?: Lack of confidence
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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