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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jai yadav
Mother's Name: Asha Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Apr 2002 Nationality: Indian
Place of Birth: Haranhai Personal Identification Mark: No
Blood Group: O +  
Date of Birth (DD/MM/YY): 28 Apr 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Jai yadav 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: Haranhi Tola Pokhara
State: Uttar Pradesh Country: India
Pin: 274205 City/District: Deoria
Mobile no: 7317558517 Telephone No. with STD code:
Aadhar Card No:499713733640 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ramakant yadav Relationship with candidate: Grandfather
Parents Date of Birth: 14 Jun 1950 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: Haranahi Tola Pokhara
Country: India State: Uttar Pradesh
City/District: Deoria Pin: 274205
Tel: Mobile no.: 7317558517
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Uttar Pradesh
School: ST Paul pub school School: Up public school
City: Deoria City: Deoria
English %: 85 Board Roll No./Seat No.: 2563045
Aggregate Percentage: 82 School/College Code: 1293
  Address of School/College: Ram nath deoria
  Centre code: 21044
  Pin: 274205
  Contact Nos: 7317558517
  Aggregate Percentage: 79
Details of Marks Secured in (10+2) Examination -

Physics 100 81 81
Chemistry 100 84 84
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 81.67
English 100 75 75
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Going institute for preparing my self for competitive exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Just because I am hard working student
Why do you wish to join TMI?: Because this is the best college for maritime studies
What are your hobbies?: Playing new games
What are your strengths?: Love towards my mom
What are your weaknesses?: I am too emotional
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
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 ________________