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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aryan Yadav
Mother's Name: Pinku yadav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Mar 2004 Nationality: Indian
Place of Birth: Korba Personal Identification Mark: Big black mole below right ear
Blood Group: O +  
Date of Birth (DD/MM/YY): 06 Mar 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: Plot No A-18 H.No-04 Ground Floor NAMAN Vihar Korba Chattisgarh
State: Chattisgarh Country: India
Pin: 495677 City/District: Korba
Mobile no: 9329180172 Telephone No. with STD code: 09329180172
Aadhar Card No:673065026341 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ravi Kumar Yadav Relationship with candidate: Mama
Parents Date of Birth: 23 Jan 1987 Parent's/Guardian's Occupation/Designation: Salaried - ABM in MMFSL
Office Address:
Address: Plot no 82 indra commercial complex T.P nagar Main road behind Gaytri Mandir Behind Gaytri Mandir korba Chhattisgarh
Country: India State: Chattisgarh
City/District: Korba Pin: 495677
Tel: 07759245783 Mobile no.: 9977356300
Fax: 07759245783 Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: kendriya vidyalaya School: Kendriya Vidyalaya Kusmunda
City: korba City: Korba
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: Kendriya Vidyalaya no-3 Adarsh Nagar kusmunda chhattisgarh
  Centre code:
  Pin: 495454
  Contact Nos: 07815271252
  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 ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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 ________________

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