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: DEG2189423
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jithin S Nair
Mother's Name: Sudhi S
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Feb 2003 Nationality: Indian
Place of Birth: Kerala Personal Identification Mark: On the wrist of right hand
Blood Group: A +  
Date of Birth (DD/MM/YY): 08 Feb 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: Vettathambalathil Evoor North PO Cheppad Vettathambalathil Evoor North PO Cheppad Vettathambalathil Evoor North PO Cheppad
State: Kerala Country: India
Pin: 690517 City/District: Alappuzha
Mobile no: 8590412893 Telephone No. with STD code: 04792401608
Aadhar Card No:373865850599 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Suresh S Relationship with candidate: Father
Parents Date of Birth: 12 Jul 1968 Parent's/Guardian's Occupation/Designation: Salesman
Office Address:
Address: Vettathambalathil Evoor North PO Cheppad Vettathambalathil Evoor North PO Cheppad
Country: India State: Kerala
City/District: Alappuzha Pin: 690517
Tel: 04792401608 Mobile no.: 9947788708
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Amrita Vidyalayam School: Amrita Vidyalayam
City: Alappuzha City: Alappuzha
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Address of School/College: Amrita Vidyalayam, Haripad , Tripakudam
  Centre code:
  Pin: 690514
  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 ?: By preparing for NDA
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It offers a good value certificate.
Why do you wish to join TMI?: Good reputation.
What are your hobbies?: Cycling
What are your strengths?: My family
What are your weaknesses?: Height
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________