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: DEG2189422
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Venkateshwaran
Mother's Name: Latha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jan 2004 Nationality: Indian
Place of Birth: Madurai Personal Identification Mark: Mole forehead and scar in forehead
Blood Group: O +  
Date of Birth (DD/MM/YY): 08 Jan 2004 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: Melur, madurai, Tamilnadu, India Melur, madurai, Tamilnadu, India Melur, Madurai, Tamil Nadu, and
State: Tamil Nadu Country: India
Pin: 625107 City/District: Madurai
Mobile no: 9787801362 Telephone No. with STD code:
Aadhar Card No:402462514359 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Arivuselvam Relationship with candidate: Father
Parents Date of Birth: 09 Jul 1971 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Melur, madurai, Tamilnadu Melur, madurai, Tamilnadu Melur, madurai, Tamilnadu
Country: India State: Tamil Nadu
City/District: Madurai Pin: 625107
Tel: Mobile no.: 9787801362
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Tamil Nadu Board: Tamil Nadu
School: Mahatma residential school School: Mahatma residential school
City: Melur City: Madurai
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Address of School/College: Alagar Kovil, madurai, Tamilnadu
  Centre code:
  Pin: 624401
  Contact Nos:
  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 ?: No
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: To get good position in society and at the young age getting responsibility.
Why do you wish to join TMI?: To get job and it is outstanding college
What are your hobbies?: Football and reading stories
What are your strengths?: Tearm work
What are your weaknesses?: Nothing
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 ________________