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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Chakshu Sanduja
Mother's Name: Gagan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Dec 2003 Nationality: India
Place of Birth: Gurgaon Personal Identification Mark: moles on thigh and back
Blood Group: B +  
Date of Birth (DD/MM/YY): 04 Dec 2003 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Chakshu Passport No.: P2416690
Date of Expiry: 17 Aug 2021 Place of Issue: DELHI
(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: 1343 opposite cross point mall DLF Phase 4 Gurgaon 1343 opposite cross point mall DLF Phase 4 Gurgaon
State: Haryana Country: India
Pin: 122009 City/District: Gurgaon
Mobile no: 8178784634 Telephone No. with STD code:
Aadhar Card No:567316083122 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ajay Kumar Relationship with candidate: father
Parents Date of Birth: 13 May 1996 Parent's/Guardian's Occupation/Designation: Businessman
Office Address:
Address: 1343 opposite cross point mall DLF Phase 4 Gurgaon 1343 opposite cross point mall DLF Phase 4 Gurgaon
Country: India State: Haryana
City/District: Gurgaon Pin: 122009
Tel: Mobile no.: 9992593699
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DPS Maruti Kunj School: DPS Maruti Kunj
City: Gurgaon City: Gurgaon
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Sohna, Alwar - Bhiwadi Rd, near KIIT College, Gurugram
  Centre code:
  Pin: 122102
  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
06/2017 Table Tennis School level 2nd
08/2018 cricket District level 1nd
09/2015 karate District level 2nd
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am thinking to learn new skills like a new language or computer language and from the younger age i had an interest in stock market.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical Science is basically about navigation and i had a great interest in merchant navy and it also have a navigation field.
Why do you wish to join TMI?: c
What are your hobbies?: cooking and gyming
What are your strengths?: Discipline and hardworking
What are your weaknesses?: fear of public speaking
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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