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.Tech. Marine Engineering
Dossier ID: DEG2185592
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Samarth Rakesh Kasar
Mother's Name: Rakhi Rakesh Kasar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 May 2003 Nationality: India
Place of Birth: Dhule Personal Identification Mark: Mole on right shoulder
Blood Group: AB -  
Date of Birth (DD/MM/YY): 24 May 2003 Nationality: India
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: Annapurna Shivaji Road Kasar Galli, Nandurbar
State: Maharashtra Country: India
Pin: 425412 City/District: Nandurbar
Mobile no: 7588944715 Telephone No. with STD code:
Aadhar Card No:543930208546 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rakesh Rohidas Kasar Relationship with candidate: Father
Parents Date of Birth: 06 Oct 1975 Parent's/Guardian's Occupation/Designation: D Pharmacy
Office Address:
Address: Samarth Medical Stores Shivaji Chowk Kasar Galli, Nandurbar
Country: India State: Maharashtra
City/District: Nandurbar Pin: 425412
Tel: Mobile no.: 9423493715
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: K R Public School School: Sou Vijayadevi Yadav English Medium School
City: Nandurbar City: Kolhapur
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: R.S. No. 245/E1, Kolhapur Road, Peth-Vadgaon, Tal. Hatkanangale, Dist, Kolhapur, Maharashtra
  Centre code:
  Pin: 416112
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
11/2015 Cricket State Bowler
01/2018 Cricket National Bowler
12/2019 Kabaddi School Defender
01/2021 Football School Right Back
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have started a new routine of daily exercise, reading newspaper, playing outdoor games, etc.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical Science is good option. As my friend recommended it to me and I had a search about it and I find it interesting.
Why do you wish to join TMI?: TMI will help to achieve success in this field and it is well-known institute.
What are your hobbies?: Outdoor activities, sports, listening music
What are your strengths?: Good listener, Good physical health,
What are your weaknesses?: Laziness
How do you intend to meet the expenses of this program?: Own Resources
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 ________________