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: Prakhar Rai
Mother's Name: Subhawati Rai
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Apr 2002 Nationality: Indian
Place of Birth: Varanasi Personal Identification Mark: Black dots on chick
Blood Group: A -  
Date of Birth (DD/MM/YY): 27 Apr 2002 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: Village-new New urf unchadih Post-Karimuddinpur District- Ghazipur
State: Uttar Pradesh Country: India
Pin: 233225 City/District: Ghazipur
Mobile no: 7309815464 Telephone No. with STD code: 07309815464
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Harendra Prasad Rai Relationship with candidate: Father
Parents Date of Birth: 12 Sep 1964 Parent's/Guardian's Occupation/Designation: Agriculture
Office Address:
Address: Village-new New urf unchadih Post-Karimuddinpur District- Ghazipur
Country: India State: Uttar Pradesh
City/District: Ghazipur Pin: 233225
Tel: 07309815464 Mobile no.: 7309815464
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Bal vidya madhyamic school School: Rainbow modern school
City: VARANASI City: Ghazipur
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: NH-29 Nandjanj Shadibad road Sauram Uttar pradesh
  Centre code:
  Pin: 233302
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics, Chemistry & Mathematics combined Percentage:
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: No
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: It has good faculty to train me for the best.
What are your hobbies?: Travelling and listening songs
What are your strengths?: Hard working and dedicated to work
What are your weaknesses?: Think too much unnecessarily
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 ________________