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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Kailash K
Mother's Name: Raji P
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 May 2003 Nationality: India
Place of Birth: KOZHIKODE Personal Identification Mark: black mole behind neck
Blood Group: A +  
Date of Birth (DD/MM/YY): 11 May 2003 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: sreekrishna house,thazhatheyil vengeri post,kannadikal kozhikode,kerala
State: Kerala Country: India
Pin: 673010 City/District: KOZHIKODE
Mobile no: 7356031105 Telephone No. with STD code:
Aadhar Card No:352881866104 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sunil Kumar K Relationship with candidate: Father
Parents Date of Birth: 15 May 1970 Parent's/Guardian's Occupation/Designation: Ex Service man
Office Address:
Address: sreekrishna,thazhatheyil kannadikkal kozhikode
Country: India State: Kerala
City/District: KOZHIKODE Pin: 673010
Tel: Mobile no.: 9645409894
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya No 1 calicut School: Kendriya Vidyalaya No 1 calicut
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Address of School/College: Kendriya Vidyalaya No 1 East Hill, Kozhikode, Kerala 673005
  Centre code:
  Pin: 673005
  Contact Nos: 04952382299
  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 ?: My prime motive was to keep learning new things, keep myself entertained during these tough times, and do something useful for the society
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: My deep interest in oceans and seas made me develop a craze for this course
Why do you wish to join TMI?: i would love to do the course from a well reputed institution of the country with plenty of resources and superb faculties
What are your hobbies?: playing football cricket,gardening
What are your strengths?: i would not cut corners to ease my duties
What are your weaknesses?: i have plenty of weakness,i loose temper 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 ________________