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: Ajeet Kumar
Mother's Name: Usha devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Sep 2003 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: Mole marks on forehead
Blood Group: O +  
Date of Birth (DD/MM/YY): 22 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: Vill siswa kodar Post office siswa bazar
State: Bihar Country: India
Pin: 845422 City/District: Jajja
Mobile no: 6202470983 Telephone No. with STD code:
Aadhar Card No:514430151415 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ramdayal paswan Relationship with candidate: Father
Parents Date of Birth: 06 Jan 1974 Parent's/Guardian's Occupation/Designation: Bihar police
Office Address:
Address: Vill siswa kodar Post office siswa bazar P.S paharpur
Country: India State: Bihar
City/District: Ja Pin: 845422
Tel: Mobile no.: 6202470983
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: Hsjsjs School: Sainik school gopalgonj
City: Gopalganj City: Gopalganj
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Address of School/College: Sainik school gopalganj Hathua ,bihar
  Centre code:
  Pin: 841436
  Contact Nos: 6202470983
  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
2020 Basketball School 1
2020 Football School 2
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have searched for merchant Navy
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: It is first position among all merchant Navy College
What are your hobbies?: Listing music
What are your strengths?: Running, sports
What are your weaknesses?: Study
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 ________________