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: DEG2184712
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Kohinoor Ghanshyam Jethani
Mother's Name: Roshini
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Apr 2004 Nationality: Indian
Place of Birth: Ulhasnagar Personal Identification Mark: Kalyan
Blood Group: B +  
Date of Birth (DD/MM/YY): 24 Apr 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: Om Complex, Flat no 101 Bewas Chowk Road, Near Dholuram Darbar
State: Maharashtra Country: India
Pin: 421001 City/District: Thane
Mobile no: 9022633140 Telephone No. with STD code:
Aadhar Card No:952832701588 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ghanshyam Jethani Relationship with candidate: Father
Parents Date of Birth: 09 Mar 1975 Parent's/Guardian's Occupation/Designation: Businessman
Office Address:
Address: Ganpati Bappa Motors, Near Raymonds showroom Shantinagar, Ulhasnagar 421003
Country: India State: Maharashtra
City/District: Thane Pin: 421003
Tel: Mobile no.: 9890097265
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Sacred Heart School School: CHM College
City: Ulhasnagar City: Ulhasnagar
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Address of School/College: CHM College, Near Ulhasnagar Railway station, Ulhasnagar 3
  Centre code:
  Pin: 421003
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading books, Preparing for Entrance Exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have interest in Marine Engeneering that is why it is a good option for me
Why do you wish to join TMI?: For completing my studies and to become a suceesfull engineer
What are your hobbies?: Swimming
What are your strengths?: Good in Swimming
What are your weaknesses?: 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 ________________