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: DEG2183936
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Hitesh Pathak
Mother's Name: Hema Pathak
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jan 2004 Nationality: Indian
Place of Birth: Ghorakhal Personal Identification Mark: Mole in lower jaw
Blood Group: A +  
Date of Birth (DD/MM/YY): 19 Jan 2004 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: Ghorakhal, Bhowali Nainital, Uttrakhand
State: Uttaranchal Country: India
Pin: 263132 City/District: Nainital
Mobile no: 9528919454 Telephone No. with STD code:
Aadhar Card No:667070999631 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Girish Chandra Pathak Relationship with candidate: Father
Parents Date of Birth: 12 Jun 1971 Parent's/Guardian's Occupation/Designation: Government Servant
Office Address:
Address: Nainital Uttrakhand
Country: India State: Uttaranchal
City/District: Nainital Pin: 263132
Tel: Mobile no.: 9528919454
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Hermann Gmeiner School School: Hermann Gmeiner School
City: Nainital City: Nainital
English %: 84 Board Roll No./Seat No.: 25621699
Aggregate Percentage: 85 School/College Code: 81033
  Address of School/College: Ghorakhal, Bhowali Nainital, Uttrakhand
  Centre code: 8092
  Pin: 263132
  Contact Nos: 09528919454
  Aggregate Percentage: 84
Details of Marks Secured in (10+2) Examination -

Physics 100 62 62
Chemistry 100 73 73
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 72
English 100 93 93
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I was spending my time by doing self study of my intermediate stream subjects.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because by this degree I can join merchant navy after my graduation.
Why do you wish to join TMI?: To get my B-Tech degree from TMI
What are your hobbies?: Playing Basketball, Sketching
What are your strengths?: Positivity, Physical endurance, quick learner
What are your weaknesses?: Easily bored, Emotionally weak
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________