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: SHIVAM KUMAR
Mother's Name: Vadini devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 May 2003 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: Cut mark on right hand plam
Blood Group: O +  
Date of Birth (DD/MM/YY): 03 May 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: At awsani, post office mangalpur Bagaha 2 Bihar 845105
State: Bihar Country: India
Pin: 845105 City/District: West Champaran
Mobile no: 7254967654 Telephone No. with STD code: 07254967654
Aadhar Card No:294308718454 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Pramod prasad Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1975 Parent's/Guardian's Occupation/Designation: Pramod prasad
Office Address:
Address: At awsani, post office mangalpur West champaran Bagaha 2 Bihar 845105
Country: India State: Bihar
City/District: West Champaran Pin: 845105
Tel: 07254967654 Mobile no.: 7254967654
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Bihar Board: Bihar
School: North Bihar sugars mills naripur School: N.b.s.mills high school
City: Bagaha City: Bagaha
English %: 41 Board Roll No./Seat No.:
Aggregate Percentage: 61 School/College Code:
  Address of School/College: Naripur bagaha2
  Centre code:
  Pin: 845105
  Contact Nos: 07254967654
  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 ?: Preparing for imu
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have never thought of any thing else accept IMU
Why do you wish to join TMI?: As it is one of best naval academy
What are your hobbies?: Cricket, football,chees
What are your strengths?: I have a lot of patience
What are your weaknesses?: Till now nothing
How do you intend to meet the expenses of this program?: Own Resources,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 ________________