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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: R J Selvalinga Rohan
Mother's Name: R Jeyanthi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jun 2003 Nationality: Indian
Place of Birth: Tuticorin Personal Identification Mark: Mole on left palm and a scar on left wrist
Blood Group: A +  
Date of Birth (DD/MM/YY): 18 Jun 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: 93I/26A/1,Ashok nagar,5th Street Tuticorin
State: Tamil Nadu Country: India
Pin: 628008 City/District: Tuticorin
Mobile no: 8098264441 Telephone No. with STD code:
Aadhar Card No:9931 1067 2333 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: V Ramesh Karthikeyan Relationship with candidate: Father
Parents Date of Birth: 21 Nov 1972 Parent's/Guardian's Occupation/Designation: Businessman
Office Address:
Address: 93I/26A/1,Ashok nagar,5th Street Tuticorin
Country: India State: Tamil Nadu
City/District: Tuticorin Pin: 628008
Tel: Mobile no.: 9894926397
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: The Vikasa School School: The Vikasa School
City: Tuticorin City: Tuticorin
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Address of School/College: 106/1 Millerpuram
  Centre code:
  Pin: 628008
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
09/2018 Basketball National 7th
08/2021 Basketball Naional 5th
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to get ready for the next phase of my life and become less dependent on others.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have always wanted to sail in the sea and willing to do whatever it takes to achieve it.
Why do you wish to join TMI?: I had heard that TMI has very good training and placements and is also one of the top colleges for marine engineering
What are your hobbies?: Drawing, Swimming
What are your strengths?: I am capable of doing my work by myself
What are your weaknesses?: I tend to get angry easily
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 ________________