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: DEG2189658
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Harshit
Mother's Name: Madhu kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Feb 2003 Nationality: Indian
Place of Birth: Hospital Personal Identification Mark: Left hand
Blood Group: AB +  
Date of Birth (DD/MM/YY): 15 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: House number 91 ward 15 near Old City Post office Jhadu Singh chowk Charkhi dadri Haryana
State: Haryana Country: India
Pin: 127306 City/District: Charkhi dadri
Mobile no: 8295756881 Telephone No. with STD code: 01250
Aadhar Card No:700473082543 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mr Rajesh kumar Relationship with candidate: Father
Parents Date of Birth: 28 Feb 1973 Parent's/Guardian's Occupation/Designation: Shopkeeper
Office Address:
Address: Shop number 2 jangra market Near bus stand Charkhi dadri Haryana
Country: India State: Haryana
City/District: Charkhi dadri Pin: 127306
Tel: 01250 Mobile no.: 7404252217
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DRK adarsh vidhya mandir School: DRK adarsh vidhya mandir
City: Charkhi dadri City: Charkhi dadri
English %: 67 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Address of School/College: Near stadium Road charkhi dadri Haryana
  Centre code:
  Pin: 127306
  Contact Nos: 07404252217
  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 sponsorship test
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: I want join TMI for good pay scale
What are your hobbies?: Listening music ,outdoor games
What are your strengths?: My family
What are your weaknesses?: Being honest
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 ________________