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: DEG2186673
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Antony lester M
Mother's Name: Spinola
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Jun 2004 Nationality: Indian
Place of Birth: Tuticorin Personal Identification Mark: A mole in right shoulder
Blood Group: A -  
Date of Birth (DD/MM/YY): 14 Jun 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: 218/94/6, st Thomas nagar, 4th street, George road 218/94/6, st Thomas nagar, 4th street, George road
State: Tamil Nadu Country: India
Pin: 628003 City/District: Thoothukudi
Mobile no: 9003472728 Telephone No. with STD code:
Aadhar Card No:753262071508 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Maria antony jeno Relationship with candidate: Father
Parents Date of Birth: 29 Oct 1975 Parent's/Guardian's Occupation/Designation: Merchant Navy Seaman
Office Address:
Address: 2nd Floor, Leela business park, Andheri kurla Road 2nd Floor, Leela business park, Andheri kurla Road
Country: India State: Maharashtra
City/District: Mumbai Pin: 400059
Tel: Mobile no.: 9003472728
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Tamil Nadu Board: Tamil Nadu
School: Kamal matric hr sec school School: Bmc matric hr sec school
City: Thoothukudi City: Thoothukudi
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Address of School/College: Millerpuram, thoothukudi
  Centre code:
  Pin: 628008
  Contact Nos: 2311402
  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 ?: Awareness and creativity of online module
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Its my childhood fashion
Why do you wish to join TMI?: Its high standard
What are your hobbies?: Reading books
What are your strengths?: Leadership, communication, writing skills
What are your weaknesses?: Lack of experience
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 ________________