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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: DAMISETTI NEERAJ
Mother's Name: S V D BHAVANI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Apr 2004 Nationality: Indian
Place of Birth: Inavalli Personal Identification Mark: Mole on left sholder
Blood Group: O +  
Date of Birth (DD/MM/YY): 19 Apr 2004 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.)
State: Andhra Pradesh Country: India
Pin: 530046 City/District: Vizag
Mobile no: 9705836839 Telephone No. with STD code: 08309059735
Aadhar Card No:986663616181 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: RAMA RAO DAMISETTI Relationship with candidate: Father
Parents Date of Birth: 15 Apr 1970 Parent's/Guardian's Occupation/Designation: Private Employee Supervisor
Office Address:
Address: Mukteshwaram Veeravalliplaem East Godavari Andhra Pradesh
Country: India State: Andhra Pradesh
City/District: Inavalli Pin: 533211
Tel: 08309059735 Mobile no.: 9705836839
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Andhra Pradesh Board: Andhra Pradesh
School: Sri Chaitanya school School: Sasi new gen collage
City: Vizag City: Velivennu
English %: 10 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Address of School/College: Velivennu undrajavaram west godavari
  Centre code:
  Pin: 534216
  Contact Nos: 95532100007
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 150
Chemistry 150
Mathematics 300
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 ?: Playing outdoor games
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Special degree than other
Why do you wish to join TMI?: Good option than other and for better placement
What are your hobbies?: Playing games and reading books
What are your strengths?: Encouragement
What are your weaknesses?: Over confidence
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 ________________