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: DEG2188158
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: AYUSH KUMAR
Mother's Name: SADHNA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Apr 2004 Nationality: India
Place of Birth: Khalari Personal Identification Mark: Black dot on right hand and in eyes
Blood Group: O +  
Date of Birth (DD/MM/YY): 30 Apr 2004 Nationality: India
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: K.D road khalari, Pragati Nagar, Bukbuka Ranchi , Jharkhand
State: Jharkhand Country: India
Pin: 828205 City/District: Ranchi
Mobile no: 7070791390 Telephone No. with STD code:
Aadhar Card No:270920794583 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shailendra kumar Relationship with candidate: Father
Parents Date of Birth: 05 Apr 1972 Parent's/Guardian's Occupation/Designation: Engineer
Office Address:
Address: Wirtgen india Harmu housing colony
Country: India State: Jharkhand
City/District: Ranchi Pin: 834002
Tel: Mobile no.: 8809073229
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Agrasen school patel nagar bhurkunda Hazaribagh School: Cambrian public school
City: Hazaribagh City: Ranchi
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 68 School/College Code:
  Address of School/College: Kanke road, ranchi
  Centre code:
  Pin: 834008
  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
04/2021 Running School 1
How do you intend spending your time after completing class XII Final exams and before joining college ?: Spending my time on cooking ,bike ridig , learning korean language and etc
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: For bright and better future.
Why do you wish to join TMI?: Yes
What are your hobbies?: Cooking ,bike riding, jogingand etc
What are your strengths?: I think one of my greatest strengths is as a problem solver.
What are your weaknesses?: I sometimes lack confidence
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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 ________________