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.Sc. Nautical Science
Dossier ID: DEG2187076
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sangay wangzer gurung
Mother's Name: Anamika gurung
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Oct 2002 Nationality: Indian
Place of Birth: Darjeeling Personal Identification Mark: No
Blood Group: O +  
Date of Birth (DD/MM/YY): 04 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: Below P.O bhanugram Near Zoo , Singamari Lebong hill cart rd. Singamari, Darjeeling
State: West Bengal Country: India
Pin: 734101 City/District: Darjeeling
Mobile no: 6294980773 Telephone No. with STD code: 06294980773
Aadhar Card No:631779432762 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Anamika Gurung Relationship with candidate: Mother
Parents Date of Birth: 21 Apr 1982 Parent's/Guardian's Occupation/Designation: Public government service
Office Address:
Address: Below P.O bhanugram Near Zoo , Singamari Lebong hill cart rd. Singamari, Darjeeling
Country: India State: West Bengal
City/District: Darjeeling Pin: 734101
Tel: 6294980773 Mobile no.: 6294980773
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: ISCE
School: St josephs school School: St Josephs school
City: Darjeeling City: Darjeeling
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Address of School/College: Below P.O bhanugram Near Zoo , Singamari Lebong hill cart rd. Singamari, Darjeeling
  Centre code:
  Pin: 734101
  Contact Nos: 06294980773
  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 ?: I worked on my Physique
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is so because i want to pursue my career in Merchant navy
Why do you wish to join TMI?: I want to join TMI because its one of the best
What are your hobbies?: Fitness, singing , cooking , playing sports
What are your strengths?: Leader
What are your weaknesses?: None
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 ________________