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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ayush Raj
Mother's Name: Nirmala Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jul 2003 Nationality: Indian
Place of Birth: Jamshedpur Personal Identification Mark: Mole
Blood Group: B +  
Date of Birth (DD/MM/YY): 16 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: A/75 kadma workers flat Kadma, Jamshedpur
State: Jharkhand Country: India
Pin: 831005 City/District: Singhbhum
Mobile no: 9693147750 Telephone No. with STD code:
Aadhar Card No:469653218884 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ashok Kumar Singh Relationship with candidate: Father
Parents Date of Birth: 21 Jan 1972 Parent's/Guardian's Occupation/Designation: Employee
Office Address:
Address: Tata Steel Jamshedpur
Country: India State: Jharkhand
City/District: Jamshedpur Pin: 831005
Tel: Mobile no.: 9939141190
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Jusco school kadma School: Juaco school kadma
City: Jamshedpur City: Jamshedpur
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: Road no-8 farm area
  Centre code:
  Pin: 831005
  Contact Nos: 9939141190
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
09/2019 Football Cluster Not qualified
11/2019 Badminton School Bronze
08/2018 Best out of waste School Bronze
08/2019 Utensils music School Bronze
How do you intend spending your time after completing class XII Final exams and before joining college ?: I mostly spend time on internet searching about career options
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have heard many and also in my relations there are happy with this
Why do you wish to join TMI?: To become a pilot and i would also love to visit different countries meet different people
What are your hobbies?: Playing badmintion
What are your strengths?: Sports
What are your weaknesses?: I really dont no
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 ________________