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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2189806
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sameer bhardwaj
Mother's Name: Sunita devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 May 2003 Nationality: Indian
Place of Birth: Seo Personal Identification Mark: Mark near right eye
Blood Group: B +  
Date of Birth (DD/MM/YY): 19 May 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Sameer bhardwaj Passport No.: U8585231
Date of Expiry: 18 Jul 2021 Place of Issue: Shimla
(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: Vill seo po naswal Tehsil ghumarwin distt bilaspur
State: Himachal Pradesh Country: India
Pin: 174021 City/District: Bilaspur
Mobile no: 8894593041 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Shashi kant bhardwaj Relationship with candidate: Father
Parents Date of Birth: 13 Feb 1974 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Vill seo po naswal Tehsil ghumarwin distt bilaspur
Country: India State: Himachal Pradesh
City/District: Bilaspur Pin: 174021
Tel: Mobile no.: 8894593041
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Himachal Pradesh Board: Himachal Pradesh
School: Minerva sr. Sec. School ghumarwin School: Minerva sr. Sec. School ghumarwin
City: Ghumarwin City: Ghumarwin
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: Near bus stand,Tehsil ghumarwin distt bilaspur
  Centre code:
  Pin: 174021
  Contact Nos: 08894593041
  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 ?: .
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: .
Why do you wish to join TMI?: .
What are your hobbies?: .
What are your strengths?: .
What are your weaknesses?: .
How do you intend to meet the expenses of this program?: Bank Loan
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 ________________