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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Mihir Goswami
Mother's Name: Suman Goswami
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Jul 2003 Nationality: Indian
Place of Birth: GANAGANAGAR Personal Identification Mark: black mole on neck and right arm
Blood Group: B +  
Date of Birth (DD/MM/YY): 03 Jul 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: E Type quarter AIISH campus Manasgangothri
State: Karnataka Country: India
Pin: 570006 City/District: Mysuru
Mobile no: 9480169216 Telephone No. with STD code: 0821-2502301
Aadhar Card No:656695221448 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: S P Goswami Relationship with candidate: Father
Parents Date of Birth: 16 Apr 1973 Parent's/Guardian's Occupation/Designation: faculty
Office Address:
Address: E Type quarter AIISH campus Manasgangothri
Country: India State: Karnataka
City/District: Mysuru Pin: 570006
Tel: 08212502301 Mobile no.: 9480169216
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya Vidyalya School: KENDRIYA VIDYALYA
City: Mysuru City: Mysuru
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: GITB Press Campus, Siddartha Nagar Giriboviya, Palya Road, Mysuru, Karnataka 570011
  Centre code:
  Pin: 570011
  Contact Nos: 08212473515
  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 ?: Prepare for professional courses and be an independent productive member of the society
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I feel my passion to marine is driving for marine engineering programme
Why do you wish to join TMI?: One of the best rated and reputed organization
What are your hobbies?: playing cricket and other sports
What are your strengths?: Patience and composed
What are your weaknesses?: gets distracted easily
How do you intend to meet the expenses of this program?: Own Resources,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 ________________