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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: SAI VIVEK KHADKE
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 May 2003 Nationality: INDIAN
Place of Birth: AURANGABAD Personal Identification Mark: Aadhar card
Blood Group: O +  
Date of Birth (DD/MM/YY): 20 May 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: Flat no. 401 ,4th floor , Mountvert voila Ivory estate near green park hotel Baner road , Pune
State: Maharashtra Country: India
Pin: 411008 City/District: Pune
Mobile no: 9309742729 Telephone No. with STD code:
Aadhar Card No:950273826779 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: VAISHALI VIVEK KHADKE Relationship with candidate: MOTHER
Parents Date of Birth: 05 May 1981 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Flat no. 401 ,4 th floor , Mountvert voila , Ivory estate , near green park hotel Baner road , Pune
Country: India State: Maharashtra
City/District: Pune Pin: 411008
Tel: Mobile no.: 8412058779
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: CITY INTERNATIONAL SCHOOL School: Defence career academy
City: PUNE City: Aurangabad
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 62 School/College Code:
  Address of School/College: Defence career academy near ,khojewadi phata , AS club , AURANGABAD
  Centre code:
  Pin: 431001
  Contact Nos: 9309742729
  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
08/2018 Football Xp Forward
How do you intend spending your time after completing class XII Final exams and before joining college ?: After 12th I have started preparing for entrance exmas of colleges and nda ,mht cet , etc
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As I my interested in bsc nautical science because as love to be in the deck department ...I lovee the atmosphere they have...
Why do you wish to join TMI?: I wish to join TMI because I have attracted to there atmosphere they have in there campus ..the facilities they give to the students .
What are your hobbies?: My hobbies are football and swiming
What are your strengths?: My strengths are . I have a leadership quality and the one who makes a team more stronger ..
What are your weaknesses?: My weakness are
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 ________________