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: DEG2186442
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Roushan kumar
Mother's Name: Roopam kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Dec 2002 Nationality: Indian
Place of Birth: Jamalpur Personal Identification Mark: A cut mark on right eyebrow
Blood Group: AB +  
Date of Birth (DD/MM/YY): 15 Dec 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: Walipur Jamalpur
State: Bihar Country: India
Pin: 811214 City/District: Munger
Mobile no: 7250979978 Telephone No. with STD code: 7294970423
Aadhar Card No:597712956736 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rupesh kumar Relationship with candidate: Father
Parents Date of Birth: 30 Aug 1979 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: WAlipur Jamalpur
Country: India State: Bihar
City/District: Jamalpur munger Pin: 811214
Tel: Mobile no.: 9204928444
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: Eastern railway inter collage jamalpur School: Jrs collage jamalpur
City: Jamalpur City: Jamalpur
English %: 73 Board Roll No./Seat No.: 21010393
Aggregate Percentage: 74 School/College Code: 81005
  Address of School/College: Jamalpur
  Centre code:
  Pin: 811214
  Contact Nos: 09204928444
  Aggregate Percentage: 63
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 ?: Preparation for imucet
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: For world tour
Why do you wish to join TMI?: Study for btech in maritime engineering
What are your hobbies?: Eating food
What are your strengths?: Time management
What are your weaknesses?: Sometimes lack of confidence
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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 ________________