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: DEG2184140
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Yash gupta
Mother's Name: Monika gupta
Gender (M/F): Male Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 21 Jan 2004 Nationality: India
Place of Birth: India Personal Identification Mark: Black mole on my left side of face
Blood Group: B +  
Date of Birth (DD/MM/YY): 21 Jan 2004 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Married
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: Khasra no.138/2 A-2 block , gali no.10,house no. 53 , west sant nagar burari,
State: Delhi Country: India
Pin: 110084 City/District: New delhi
Mobile no: 9654909461 Telephone No. with STD code:
Aadhar Card No:391034833042 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Monika gupta Relationship with candidate: Mother
Parents Date of Birth: 17 Feb 1983 Parent's/Guardian's Occupation/Designation: Self employed
Office Address:
Address: Khasra no.138/2 A-2 block , gali no.10,house no. 53 , west sant nagar burari,
Country: India State: Delhi
City/District: New delhi Pin: 110084
Tel: Mobile no.: 9654909461
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Dav public school School: Dav public school
City: New delhi City: New delhi
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Address of School/College: Ashok vihar phase 4,new delhi
  Centre code:
  Pin: 110052
  Contact Nos: 09654909461
  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 will prepare for entrance exams of different merchant navy colleges and imucet exam to get admission in best college
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As I am very interested in merchant navy since my childhood and as I love to explore new places and especially travelling is my hobby and I think I will enjoy merchant navy as my profession
Why do you wish to join TMI?: As Tmi is one of the best institute for merchant navy and everyone likes to study from the best
What are your hobbies?: I like to travel and explore new places specifically I like to hear historical and mythological stories and audiobooks
What are your strengths?: I am a good learner,little manipulative
What are your weaknesses?: I am little impatient
How do you intend to meet the expenses of this program?: 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 ________________

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