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.Sc. Nautical Science
Dossier ID: DEG2186005
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aditya Yadav
Mother's Name: Nisha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jan 2002 Nationality: Indian
Place of Birth: Ashta Personal Identification Mark: SPot on right leg
Blood Group: A -  
Date of Birth (DD/MM/YY): 10 Jan 2002 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: Anjani Nagar Seminary road Front Street of Hanuman temple
State: Madhya Pradesh Country: India
Pin: 466116 City/District: Ashta
Mobile no: 8827996856 Telephone No. with STD code: 08827996856
Aadhar Card No:951568389487 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vinod Yadav Relationship with candidate: Father of candidate
Parents Date of Birth: 04 Jun 1971 Parent's/Guardian's Occupation/Designation: Physical training instructor
Office Address:
Address: Anjani Nagar, Seminary road, Front Street of Hanuman temple Near post office Kannod road
Country: India State: Madhya Pradesh
City/District: Ashta Pin: 466116
Tel: 09131376579 Mobile no.: 9131376579
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Madhya Pradesh Board: Madhya Pradesh
School: Government excellence higher secondary school School: Government excellence higher secondary school
City: Ashta City: Ashta
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 67 School/College Code:
  Address of School/College: Kannod road ashta
  Centre code:
  Pin: 466116
  Contact Nos: 08827996856
  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 ?: Keep focusing on my study
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: To give a good future to my family as well as to me.
Why do you wish to join TMI?: Obviously the best institute in India or even Asia for Marine course .
What are your hobbies?: Playing football watching Hollywood movies
What are your strengths?: Leadership qualities and discipline
What are your weaknesses?: Always trusting on people
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 ________________