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: DEG2185499
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Karthi M
Mother's Name: Pandiammal M
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Nov 2003 Nationality: Indian
Place of Birth: Virudhunaga Personal Identification Mark: Mole in chin
Blood Group: A +  
Date of Birth (DD/MM/YY): 10 Nov 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: 4/269 Ettanayakanpatti Pattampudhur Virudhunagar
State: Tripura Country: India
Pin: 626003 City/District: Virudhunagar
Mobile no: 9787235022 Telephone No. with STD code: 9787235022
Aadhar Card No:938407536742 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Muniyappan R Relationship with candidate: Father
Parents Date of Birth: 02 May 1977 Parent's/Guardian's Occupation/Designation: Area Sales Manager
Office Address:
Address: 2nd floor, 43rd cross, 9th main 5th block Jayanagar Bangalore
Country: India State: Karnataka
City/District: Virudhunagar Pin: 560041
Tel: 9787235022 Mobile no.: 8940248186
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Ramco Vidyalaya School: Ramco Vidyalaya
City: virudhunagar City: Virudhunagar
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: Ramasamy Raja Nagar, Thamanayakanpatti.VIrudhunagar
  Centre code:
  Pin: 626204
  Contact Nos: 04562256299
  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 ?: Searching colleges For the Marine engineering courses
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It has a good scope and it is very adventurous job.
Why do you wish to join TMI?: Because it has good placement percentage and good rating.
What are your hobbies?: Silambam
What are your strengths?: Active, Positive thinking
What are your weaknesses?: Nothing
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 ________________