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: DEG2189330
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sanjai Sharma S S
Mother's Name: Suganthi R
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Apr 2003 Nationality: Indian
Place of Birth: Nagercoil Personal Identification Mark: Mole on Left hand Forearm
Blood Group: B +  
Date of Birth (DD/MM/YY): 30 Apr 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: 4/220-1, Valar Nagar, Thammathukonam Erumbukadu Post, Nagercoil
State: Tamil Nadu Country: India
Pin: 629004 City/District: Kannyakumari
Mobile no: 6385803612 Telephone No. with STD code:
Aadhar Card No:679899786686 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Subbiah S Relationship with candidate: Father
Parents Date of Birth: 25 Apr 1975 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: 4/220-1, Valar Nagar, Thammathukonam Erumbukadu Post, Nagercoil, Kannyakumari
Country: India State: Tamil Nadu
City/District: Kannyakumari Pin: 629004
Tel: Mobile no.: 7358587240
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Tamil Nadu Board: Tamil Nadu
School: Vallankumaranvilai Government Higher Secondary School. School: SLB Government Higher Secondary School
City: Nagercoil City: Nagercoil
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Address of School/College: SLB Government Higher Secondary School, Court Road, Nagercoil, Kannyakumari
  Centre code:
  Pin: 629001
  Contact Nos: 04652232867
  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 ?: Interested in Body Fitness, Swimming etc.,
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Aspiring to prove myself in Nautical science
Why do you wish to join TMI?: I think I will have Tremendous Support in this institute to prove myself
What are your hobbies?: Swimming, Football, Body Fitness, etc.,
What are your strengths?: Hardworker, Indepth Understanding capablity
What are your weaknesses?: Patience
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 ________________