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: DEG2186961
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Zaharul Alam
Mother's Name: Jahanara bagum
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Oct 2002 Nationality: Indian
Place of Birth: Kuli kandi Personal Identification Mark: Birth mark on neck
Blood Group: B +  
Date of Birth (DD/MM/YY): 23 Oct 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: Kuli kandi, murshidabad, west bengal Kuli kandi, murshidabad, west bengal
State: West Bengal Country: India
Pin: 742168 City/District: Behrampur
Mobile no: 9339186902 Telephone No. with STD code: 09339186902
Aadhar Card No:743284080383 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Samsul Alam Relationship with candidate: Father
Parents Date of Birth: 10 Dec 1970 Parent's/Guardian's Occupation/Designation: PWD supervisor
Office Address:
Address: Kuli kandi, murshidabad, west bengal Kuli kandi, murshidabad, west bengal
Country: India State: West Bengal
City/District: Behrampur Pin: 742168
Tel: Mobile no.: 9733602742
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Army public school narangi School: Army public school narangi
City: Guwahati City: Guwahati
English %: 89 Board Roll No./Seat No.: 16616646
Aggregate Percentage: 88 School/College Code: 35093
  Address of School/College: Satgoan Guwahati Assam
  Centre code: 3624
  Pin: 781171
  Contact Nos:
  Aggregate Percentage: 77
Details of Marks Secured in (10+2) Examination -

Physics 100 73 73
Chemistry 100 88 88
Mathematics 100 45 45
Physics, Chemistry & Mathematics combined Percentage: 68.67
English 100 85 85
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning new skills
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I will get to learn more theoretically.
Why do you wish to join TMI?: Its a reputed college
What are your hobbies?: Painting and playing cricket
What are your strengths?: Truth and determination
What are your weaknesses?: I trust people we easily
How do you intend to meet the expenses of this program?: Bank Loan
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 ________________