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: DEG2185185
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Riyansh Pandey
Mother's Name: Anupam Pandey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Oct 2003 Nationality: Indian
Place of Birth: AJMER Personal Identification Mark: Ajmer
Blood Group: A +  
Date of Birth (DD/MM/YY): 21 Oct 2003 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: J-24 GANDHI NAGAR NAKA MADAR AJMER
State: Rajasthan Country: India
Pin: 305001 City/District: AJMER
Mobile no: 9414259175 Telephone No. with STD code: 0145
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vinay Kumar Pandey Relationship with candidate: Parent
Parents Date of Birth: 13 Jul 1972 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: E-7 Gandhi Nagar Naka Madar Ajmer
Country: India State: Rajasthan
City/District: Ajmer Pin: 305001
Tel: 0145 Mobile no.: 9784795978
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: St.Pauls School: Central Academy
English %: 59 Board Roll No./Seat No.:
Aggregate Percentage: 58 School/College Code:
  Address of School/College: Pragati Nagar Kotra Ajmer
  Centre code:
  Pin: 305001
  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 ?: Studying and spending time with my family
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because i am interested in it
Why do you wish to join TMI?: It is good carrier option in future and it is also good in academics
What are your hobbies?: Playing badminton
What are your strengths?: Honesty and hardworking person
What are your weaknesses?: Trust
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 ________________