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.Tech. Marine Engineering
Dossier ID: DEG2188214
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Noel Mathew
Mother's Name: Leena
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 May 2003 Nationality: Indian
Place of Birth: Gujarat Personal Identification Mark: Mole on forehead
Blood Group: A +  
Date of Birth (DD/MM/YY): 20 May 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: plot no-103, Ward-5/A GANDHIDHAM,KUTCH
State: Gujarat Country: India
Pin: 370205 City/District: KUTCH
Mobile no: 7041497287 Telephone No. with STD code:
Aadhar Card No:732255101864 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: MATHEW JOHN Relationship with candidate: SON
Parents Date of Birth: 20 May 1965 Parent's/Guardian's Occupation/Designation: SERVICE
Office Address:
Address: Chetna Chamber Room No 306-312 Plot No. 38 Sector-9 Gujarat - 370 201 INDIA GANDHIDHAM,KUTCH
Country: India State: Gujarat
City/District: kutch Pin: 370205
Tel: Mobile no.: 9726760437
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Gujarat Board: Gujarat
School: st.xaviers school School: st.xaviers school
City: kutch City: ADIPUR
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Address of School/College: WARD-3/B ADIPUR,GANDHIDHAM
  Centre code:
  Pin: 370205
  Contact Nos: 02836260265
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 150
Chemistry 150
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 ?: fitness
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: my parents are in the same profession.
Why do you wish to join TMI?: its one of the best college for marine engineering
What are your hobbies?: playing
What are your strengths?: my attitude
What are your weaknesses?: nothing
How do you intend to meet the expenses of this program?: Own Resources
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 ________________