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.Sc. Nautical Science
Dossier ID: DEG2184956
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: shriyash samir suryawanshi
Mother's Name: vaishali suryawanshi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jul 2003 Nationality: Indian
Place of Birth: pune Personal Identification Mark: mole on right ear
Blood Group: B +  
Date of Birth (DD/MM/YY): 31 Jul 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : suryawanshi shriyash samir Passport No.: p5682383
Date of Expiry: 30 Jul 2021 Place of Issue: thane
(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: E3/206 rutu tower patlipada Gorbandar road
State: Maharashtra Country: India
Pin: 400607 City/District: thane
Mobile no: 8108100173 Telephone No. with STD code: 0789867310703
Aadhar Card No:787821056906 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: samir prakash suryawanshi Relationship with candidate: father
Parents Date of Birth: 10 Jan 1973 Parent's/Guardian's Occupation/Designation: service
Office Address:
Address: e3/206, rutu tower patlipada ghodbunder road
Country: India State: Maharashtra
City/District: thane Pin: 400607
Tel: Mobile no.: 8108100173
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: DAV public school School: Shubhamraje Jr College
City: thane City: Thane
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 64 School/College Code:
  Address of School/College: Mazi Aai School Campus, GB Road, Ptlipada, Thane west.
  Centre code:
  Pin: 400607
  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 ?: playing games, preparation of CET
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: like shipping industry and sailing into deep sea
Why do you wish to join TMI?: it is different engineering course than regular engineering
What are your hobbies?: reading, playing football,
What are your strengths?: hardwork
What are your weaknesses?: overthinking
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan,Other - try for scholarship, borrowing money from friends and relatives
Review you documents:
Your passport 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 ________________