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: DEG2187549
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: OM CHAUDHARY
Mother's Name: YOGITA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Oct 2003 Nationality: INDIAN
Place of Birth: PUNE Personal Identification Mark: Height
Blood Group: B -  
Date of Birth (DD/MM/YY): 03 Oct 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: Plot no 43 survey no 60/3 Shivnagri BIjalinagar Pune 33
State: Maharashtra Country: India
Pin: 411033 City/District: PUNE
Mobile no: 9226738757 Telephone No. with STD code: 09226738757
Aadhar Card No:345268040477 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vijay Chaudhary Relationship with candidate: Father
Parents Date of Birth: 03 May 1973 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: Plot no 43 survey no 60/3 Shivnagri BIjalinagar Pune 33
Country: India State: Maharashtra
City/District: PUNE Pin: 411033
Tel: 09226738757 Mobile no.: 9226738757
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Maharashtra Board: Maharashtra
School: CMS school School: Shri Mhalasakant vidayala
City: PUNE City: PUNE
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Address of School/College: Plot no 43 survey no 60/3 Shivnagri BIjalinagar Pune 33
  Centre code:
  Pin: 411033
  Contact Nos: 09226738757
  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
12/2018 Volleyball School level 2
06/2019 Handball Zp level 1
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have a lot of hobbies like i like to plant tress which i still do.. So further There will be more time to spend in the same so i will spend there And other activties like i like coding So i will do that too
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Merchant navy is my forver dream so i can do anything to achevie it
Why do you wish to join TMI?: I once had a visit to TMI through ocean cadet academy so liked the college its very good and close to me to travel
What are your hobbies?: Tress planting volleyball handball cricket
What are your strengths?: Patience , Hardwork , Firmness
What are your weaknesses?: Dont think so any
How do you intend to meet the expenses of this program?: Own Resources
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 ________________