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: DEG2187091
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Lokendra pratap singh
Mother's Name: Rajni Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Jul 2004 Nationality: Indian
Place of Birth: Aligarh Personal Identification Mark: black mark on right leg
Blood Group: AB -  
Date of Birth (DD/MM/YY): 06 Jul 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: Vikas Lok colony Dhanipur mandi Aligarh
State: Uttar Pradesh Country: India
Pin: 202001 City/District: Aligarh
Mobile no: 9368301417 Telephone No. with STD code: 05719368301417
Aadhar Card No:940121810759 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Satyendra pal singh Relationship with candidate: Father
Parents Date of Birth: 03 Mar 1974 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: Vikas Lok colony Dhanipur mandi Aligarh
Country: India State: Uttar Pradesh
City/District: Aligarh Pin: 202001
Tel: Mobile no.: 7906589701
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Brilliant Public school School: Brilliant Public school
City: Aligarh City: Aligarh
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Address of School/College: Shankar Vihar colony Quarsi
  Centre code:
  Pin: 202002
  Contact Nos:
  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 ?: Join an NGO.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: interesting and challenging.
Why do you wish to join TMI?: As it is best Institute in India
What are your hobbies?: Singing
What are your strengths?: Self control
What are your weaknesses?: Incredibly introvert
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 ________________