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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Darrian Rebelo
Mother's Name: Mena Rebelo
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Oct 2002 Nationality: India
Place of Birth: Margao Personal Identification Mark: Adhar Card
Blood Group: A +  
Date of Birth (DD/MM/YY): 18 Oct 2002 Nationality: India
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: Naranpoi Sarzora Salcete Goa Naranpoi Sarzora Salcete Goa
State: Goa Country: India
Pin: 403715 City/District: Margao
Mobile no: 7517236095 Telephone No. with STD code: 07517236095
Aadhar Card No:382171129501 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Pedro Rebello Relationship with candidate: Father
Parents Date of Birth: 18 Jul 1996 Parent's/Guardian's Occupation/Designation: Labour
Office Address:
Address: Naranpoi Sarzora Salcete Goa Naranpoi Sarzora Salcete Goa
Country: India State: Goa
City/District: Margao Pin: 403715
Tel: 07517236095 Mobile no.: 7517236095
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Goa Board: Goa
School: Assumpta Convent High School School: Shree DAMODAR HIGHER SECONDARY SCHOOL OF SCIENCE
City: Margao City: Margao
English %: 78 Board Roll No./Seat No.: 65534
Aggregate Percentage: 82 School/College Code: HS030
  Address of School/College: Margao Salcete Goa
  Centre code: 24NAVELIM
  Pin: 403715
  Contact Nos: 7517236095
  Aggregate Percentage: 77
Details of Marks Secured in (10+2) Examination -

Physics 100 65 65
Chemistry 100 72 72
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 67
English 100 82 82
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am looking forward to the IMUCET exam and preparing for that.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think because of job security I will be getting after I complete the degree.
Why do you wish to join TMI?: I wish to join TMI because of the research I have done I came to now that it is the best institution in this field
What are your hobbies?: I like to play football,draw and play online games
What are your strengths?: very focused on the work that I am supposed to do.
What are your weaknesses?: Time management is my weakness right now.
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 ________________