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: DEG2187475
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Pratham Patil
Mother's Name: Durga Patil
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Sep 2003 Nationality: Indian
Place of Birth: Indore Personal Identification Mark: White spot on right ankel
Blood Group: B +  
Date of Birth (DD/MM/YY): 19 Sep 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: 438 VIP PARASPAR NAGAR Scheme no 97 part-4
State: Madhya Pradesh Country: India
Pin: 452012 City/District: Indore
Mobile no: 9302277309 Telephone No. with STD code: 0731
Aadhar Card No:303406147959 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Chaman Patil Relationship with candidate: Father
Parents Date of Birth: 25 Jul 1970 Parent's/Guardian's Occupation/Designation: Private sector
Office Address:
Address: Pithampur industrial area Sector 3
Country: India State: Madhya Pradesh
City/District: Pithampur Pin: 453331
Tel: 0731 Mobile no.: 7806040070
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: Madhya Pradesh
School: Alpine Academy School: Lord krishna public school
City: Indore City: Indore
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Address of School/College: Pricanco colony
  Centre code:
  Pin: 452009
  Contact Nos: 07314029686
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
10/2019 Tug of war Inter house First
10/2020 Chess Inter school Draw
12/2020 Chess Inter house Winner
10/2018 Tug of war Inter house Second
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will like to improve my social skill and also work on communication, also like to travel with friends by exploring near by places.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I am very much interested in learning new things and to do innovation in this feild of engineering and like to travel also. So i think it is a good option for me.
Why do you wish to join TMI?: It is very good and reputated college. I think from TMI i can improve my skill and learn many new things.
What are your hobbies?: Reading science facts, travelling, exploring new things
What are your strengths?: Have good adaptive skills
What are your weaknesses?: Think more for decision making
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 ________________