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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Rajaganesh SA
Mother's Name: Akilandeswari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Aug 2003 Nationality: Indian
Place of Birth: Cuddalore Personal Identification Mark: Scar in left knee
Blood Group: B +  
Date of Birth (DD/MM/YY): 31 Aug 2003 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: 10/A, Chinnappan street, Manjakuppam,
State: Tamil Nadu Country: India
Pin: 607001 City/District: Cuddalore
Mobile no: 8925746776 Telephone No. with STD code: 08925746776
Aadhar Card No:221893737350 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sakthibabusundaram RR Relationship with candidate: Father
Parents Date of Birth: 22 Jul 1972 Parent's/Guardian's Occupation/Designation: TNEB
Office Address:
Address: 10/A, Chinnappan street, Manjakuppam,
Country: India State: Tamil Nadu
City/District: Cuddalore Pin: 607001
Tel: 08925746776 Mobile no.: 8925746776
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: A.R.L.M School: Velammal
City: Cuddalore City: Chennai
English %: 62 Board Roll No./Seat No.:
Aggregate Percentage: 68 School/College Code: Velammal
  Address of School/College: Chennai high way road ponneri
  Centre code:
  Pin: 601204
  Contact Nos: 8925746776
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100 80 80
Chemistry 100 80 80
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 80
English 100 81 81
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
10/2014 Swimming Divisional First prize
How do you intend spending your time after completing class XII Final exams and before joining college ?: Football coaching
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Its my dream to become as a ship captan
Why do you wish to join TMI?: You are the best of maritime studies
What are your hobbies?: Reading general knowledge
What are your strengths?: My strength is mind
What are your weaknesses?: My weakness is weight
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 ________________