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.Tech. Marine Engineering
Dossier ID: DEG2189582
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: There is a small mole on my face
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 Kadma, Jamshedpur
State: Jharkhand Country: India
Pin: 831005 City/District: Jamshedpur
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: Rd Number 23, Kadma, Jamshedpur, Jharkhand 831005
  Centre code:
  Pin: 831005
  Contact Nos: 06572311294
  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
10/2019 Best out of waste School level Bronze
10/2019 Utensil band School level Bronze
11/2017 Singing School level 2nd position
How do you intend spending your time after completing class XII Final exams and before joining college ?: I usually search on internet about colleges and am preparing for competitios
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Its just a different cource it allow us to sail the world and the most important we can learn about sea
Why do you wish to join TMI?: I have heard and searched about and i have found this is one of the best colleges for navy merchant
What are your hobbies?: Playing badmintion and read novels
What are your strengths?: Patience
What are your weaknesses?: Time management
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 not uploaded

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

Signature of Candidate



Date ________________