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: DEG2185617
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: RITESH KUMAR NAYAK
Mother's Name: PRATIVA NAYAK
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Feb 2004 Nationality: INDIAN
Place of Birth: ODISHA Personal Identification Mark: BLACK SPOT AT RIGHT ANKLE
Blood Group: B +  
Date of Birth (DD/MM/YY): 27 Feb 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: Hno 753 Sector 7
State: Delhi Country: India
Pin: 110017 City/District: pushpvihar
Mobile no: 9773776832 Telephone No. with STD code: 09773776832
Aadhar Card No:566667856414 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Suvendu kumar nayak Relationship with candidate: Father
Parents Date of Birth: 22 Feb 1974 Parent's/Guardian's Occupation/Designation: BSF
Office Address:
Address: Hno 753 Sector 7
Country: India State: Delhi
City/District: pushpvihar Pin: 110017
Tel: 09773776832 Mobile no.: 8010070836
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Sona modern public school School: Kendriya vidyalaya
City: new delhi City: pushpvihar
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: pushpvihar secc 3
  Centre code:
  Pin: 110017
  Contact Nos: 01129553861
  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 ?: Building my physique .
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: yeah its quite intresting and advent
Why do you wish to join TMI?: its a very good and quite promising institute
What are your hobbies?: playing football
What are your strengths?: my mentality
What are your weaknesses?: none
How do you intend to meet the expenses of this program?: Own Resources,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

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________