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: DEG2185467
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Anant Kumar
Mother's Name: Pinki Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jul 2001 Nationality: Indian
Place of Birth: Kahalgaon Personal Identification Mark: Aadhar card
Blood Group: B +  
Date of Birth (DD/MM/YY): 31 Jul 2001 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: Vill-bhalui Sujan , Po-keriya , Ps-kahalgaon Kahalgaon Sarai, Bhagalpur
State: Bihar Country: India
Pin: 813204 City/District: Ajalpur Milik
Mobile no: 9304351935 Telephone No. with STD code:
Aadhar Card No:812411365044 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sanjay Singh Relationship with candidate: No
Parents Date of Birth: 01 Jan 1981 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Vill-bhalui Sujan , Po-keriya , Ps-kahalgaon Bhalui sujan
Country: India State: Bihar
City/District: Ajalpur Milik Pin: 813204
Tel: Mobile no.: 9304351935
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Bihar
School: MSLK Saraswati vidya mandir School: Marwari College
City: Kahalgaon City: Bhagalpur
English %: 79 Board Roll No./Seat No.: 20010135
Aggregate Percentage: 73 School/College Code: 7102
  Address of School/College: Bhagalpur
  Centre code: 71002
  Pin: 812007
  Contact Nos: 09304351935
  Aggregate Percentage: 74
Details of Marks Secured in (10+2) Examination -

Physics 100 66 66
Chemistry 100 70 70
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 71.67
English 100 74 74
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study and sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Better education facilities
What are your hobbies?: Study and sports
What are your strengths?: Participate in any field
What are your weaknesses?: Nervousness
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 ________________