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: Ankit Kumar
Mother's Name: PUNITA Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Mar 2003 Nationality: Indian
Place of Birth: Jamshedpur Personal Identification Mark: A cut mark on left eye
Blood Group: O +  
Date of Birth (DD/MM/YY): 06 Mar 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: Nirmal path ,new colony ,chotta Gamharia Gamharia Jharkhand
State: Jharkhand Country: India
Pin: 832108 City/District: SARAIKELA KHARSAWAN
Mobile no: 7979015118 Telephone No. with STD code:
Aadhar Card No:575664686941 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: MADAN Kumar Relationship with candidate: Son
Parents Date of Birth: 02 Jan 1972 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: Nirmal path Gamharia Jharkhand Gamharia Jharkhand
Country: India State: Jharkhand
City/District: SARAIKELA KHARSAWAN Pin: 832108
Tel: Mobile no.: 8051951511
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: Xavier School Gamharia School: St Mary English High school
City: Jamshedpur City: Jamshedpur
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Address of School/College: Bistupur
  Centre code:
  Pin: 831001
  Contact Nos:
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading Books And playing Outdoor Games
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: To Learn New Things And Live Adventurous Life
What are your hobbies?: Dancing, Reading, Playing
What are your strengths?: Hardwork
What are your weaknesses?: Believe On people Easily
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 ________________