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: DEG2188042
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jivesh Raj Sinha
Mother's Name: Purnima Sinha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Sep 2002 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Birth mark on backbone
Blood Group: A +  
Date of Birth (DD/MM/YY): 13 Sep 2002 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: Rajnish Sinha,496/13kha Chhota Chandganj Pajawa, Paani ki Tanki,Babuganj,Post Office Nirala Nagar,Lucknow,Uttar Pradesh
State: Uttar Pradesh Country: India
Pin: 226020 City/District: Lucknow
Mobile no: 7007784134 Telephone No. with STD code:
Aadhar Card No:308942500489 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajnish Sinha Relationship with candidate: Father
Parents Date of Birth: 10 Oct 1975 Parent's/Guardian's Occupation/Designation: Assistant Teacher
Office Address:
Address: Basic Shiksha Parishad,Block Education Officer Office Gosaiganj,Lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226501
Tel: Mobile no.: 7007784134
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Uttar Pradesh Board: Uttar Pradesh
School: Christ Church College School: Christ Church College
City: Lucknow City: Lucknow
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: Mahatma Gandhi Marg,Raj Bhawan Colony The Mall Avenue,Hazaratganj,Lucknow
  Centre code:
  Pin: 226001
  Contact Nos: 05222239138
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics, Chemistry & Mathematics combined Percentage:
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Communication skills ,Calisthenics ,Reading books ,Preparing for competition exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Great option,I think I have quite personality for this degree
Why do you wish to join TMI?: Best institute in Asia for merchant navy as best career option for beginning our life in wright direction and as to learn more in this field
What are your hobbies?: Calisthenic,Travelling, Creative work like doing some new-new experiment
What are your strengths?: Self control ,Leadership nature ,Teamwork ,Always learner
What are your weaknesses?: Saying no
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 ________________