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.Sc. Nautical Science
Dossier ID: DEG2188338
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Anand Sagar Chauhan
Mother's Name: Shakuntala Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 May 2002 Nationality: Indian
Place of Birth: Uttapradesh Personal Identification Mark: Stomach right side moles
Blood Group: O +  
Date of Birth (DD/MM/YY): 15 May 2002 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: Barnai Baitalpur,Deoria UP Banai Baitalpur, Deoria UP
State: Uttar Pradesh Country: India
Pin: 274201 City/District: Deoria
Mobile no: 6390657941 Telephone No. with STD code: 06390657941
Aadhar Card No:946927386746 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Komal chauhan Relationship with candidate: Father
Parents Date of Birth: 05 Sep 1984 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Barnai Baitalpur,Deoria UP Banai Baitalpur, Deoria UP
Country: India State: Uttar Pradesh
City/District: Deoria Pin: 274201
Tel: 06390657941 Mobile no.: 9125880774
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: Uttar Pradesh
School: Baljeet ashrphi inter collage School: Baljeet asharphi inter collage
City: Deoria City: Deoria
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: Barnai Baitalpur,Deoria UP Banai Baitalpur, Deoria UP
  Centre code:
  Pin: 274201
  Contact Nos: 06390657941
  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 ?: Reading book and discussed my future plans
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I love to this field
Why do you wish to join TMI?: Good in services
What are your hobbies?: Playing cricket
What are your strengths?: Self confidence
What are your weaknesses?: No one
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 ________________