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: Anuja Mangesh Vaity
Mother's Name: RESHMA
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Sep 2003 Nationality: INDIAN
Place of Birth: MUMBAI Personal Identification Mark: A MOLE ON CHIN
Blood Group: B +  
Date of Birth (DD/MM/YY): 11 Sep 2003 Nationality: INDIAN
Gender (M/F): Female 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: Shree Ganesh Krupa chs, Sector no 7, Society no 715, Room no 13, Charkop, Kandivali West Shree Ganesh Krupa chs, Sector no 7, Society no 715, Room no 19, Charkop, Kandivali West
State: Maharashtra Country: India
Pin: 400067 City/District: MUMBAI
Mobile no: 9152077811 Telephone No. with STD code: 09152077811
Aadhar Card No:608223049662 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Relationship with candidate:
Parents Date of Birth: Parent's/Guardian's Occupation/Designation:
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Education and Academic Record :

Class X: - Class XII: -
Year of Passing: Year of Passing:
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English %: Board Roll No./Seat No.:
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Details of Marks Secured in (10+2) Examination -

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IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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 ________________

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