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.Sc. Nautical Science
Dossier ID: DEG2190040
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Adarsh Mishra
Mother's Name: Mamta mishra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Aug 2004 Nationality: Indian
Place of Birth: Uttar prade Personal Identification Mark: Eye colour gray
Blood Group: B +  
Date of Birth (DD/MM/YY): 15 Aug 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.)
Address for Communication: Sultanpur dariyavganj jaunpur Sultanpur dariyaganj jaunpur
State: Uttar Pradesh Country: India
Pin: 222109 City/District: Jaunpur
Mobile no: 9555755908 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Arun Kumar Mishra Relationship with candidate: Father
Parents Date of Birth: 01 Mar 1984 Parent's/Guardian's Occupation/Designation: Private job
Office Address:
Address: Sultanpur dariyavganj jaunpur Sultanpur dariyavganj jaunpur
Country: India State: Uttar Pradesh
City/District: Jaunpur Pin: 222109
Tel: Mobile no.: 8655467934
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: Surybali singh public school School: Anju gill academy
City: Jaunpur City: Jaunpur
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Address of School/College: katghara muradganj jaunpur
  Centre code:
  Pin: 222002
  Contact Nos:
  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 ?: To searching and preparing for my future carrier. I also used to watch movies.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Beacuse life on marine is very adventurous and gladfull.
Why do you wish to join TMI?: For exploring the knowledge and to get real life practice for my better knowledge.
What are your hobbies?: playing chess
What are your strengths?: Focused
What are your weaknesses?: Laziness
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 ________________