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: DEG2188613
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Bharti bisht
Mother's Name: Meena bisht
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 May 2004 Nationality: India
Place of Birth: Uttrakhand Personal Identification Mark: Mole in arm
Blood Group: A +  
Date of Birth (DD/MM/YY): 21 May 2004 Nationality: India
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: lane no.10 lower nehrugram mokhampur, dehradun
State: Uttaranchal Country: India
Pin: 248005 City/District: dehradu
Mobile no: 9368240642 Telephone No. with STD code:
Aadhar Card No:960769385742 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: MR Jagdish singh Relationship with candidate: daughter
Parents Date of Birth: 07 Feb 1973 Parent's/Guardian's Occupation/Designation: buisness
Office Address:
Address: post office tilwara district rudrapryag uttrakhand
Country: India State: Uttaranchal
City/District: dehradun Pin: 248005
Tel: Mobile no.: 9761305570
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Uttaranchal Board: Bihar
School: gauri memorial public shool School: baluni public school
City: tilwara City: dehradun
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Address of School/College: dehradun ,kargi, chowk
  Centre code:
  Pin: 248005
  Contact Nos: 9368240642
  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: 927199  
How do you intend spending your time after completing class XII Final exams and before joining college ?: i search which subject would suit me subjects and which college can i get
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: l think its good course for me cause i want to much exposure to see world
Why do you wish to join TMI?: because here placement rate is high
What are your hobbies?: see movies
What are your strengths?: patience
What are your weaknesses?: i became nervous easily
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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 ________________