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: DEG2185679
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Nishan k poojary
Mother's Name: Vijaya k s
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Nov 2003 Nationality: Indiann
Place of Birth: Karnataka Personal Identification Mark: Eyes
Blood Group: O +  
Date of Birth (DD/MM/YY): 28 Nov 2003 Nationality: Indiann
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Nishan k poojary 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: Nishan near Dwarka store korngrapady udupi Shree sannidhi opposite CJ church bailoor udupi
State: Karnataka Country: India
Pin: 576101 City/District: Udupi
Mobile no: 9964279980 Telephone No. with STD code: 0820
Aadhar Card No:557631887301 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vijaya k s Relationship with candidate: Mother
Parents Date of Birth: 02 Feb 1974 Parent's/Guardian's Occupation/Designation: Nursing tutor
Office Address:
Address: Nishan near Dwarka store korngrapady udupi Shree sannidhi opposite CJ church bailoor udupi
Country: India State: Karnataka
City/District: Udupi Pin: 576101
Tel: 0820 Mobile no.: 9964279980
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: T a pai English medium school School: Poorna prajna p u college udupi
City: Udupi City: Udupi
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Near fish market road udupi
  Centre code:
  Pin: 576101
  Contact Nos: 09964279980
  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
06/2019 Cricket District 3rd
09/2019 Basketball Zone 1st
11/2019 Basketball District 1st
How do you intend spending your time after completing class XII Final exams and before joining college ?: Try to get seat in the best college like tmi pune
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Becoz i like some challenging jobs and i like mechanical field very much
Why do you wish to join TMI?: One of most best college for merchant navy and marine fields
What are your hobbies?: Painting, bottle art , gardening
What are your strengths?: Try to complete my challenge
What are your weaknesses?: Over confusion
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 ________________