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: DEG2190114
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Lakshay kapoor
Mother's Name: VEENA KAPOOR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Dec 2002 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: No
Blood Group: O +  
Date of Birth (DD/MM/YY): 16 Dec 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: D-74 ground floor tagore garden new delhi-110027 D-74 ground floor tagore garden new delhi -110027
State: Delhi Country: India
Pin: 110027 City/District: Delhi
Mobile no: 8383920134 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ashwani Relationship with candidate: Father
Parents Date of Birth: 12 Aug 1974 Parent's/Guardian's Occupation/Designation: Auto driver
Office Address:
Address: D-74 ground floor tagore garden New Delhi
Country: India State: Delhi
City/District: New delhi Pin: 110027
Tel: Mobile no.: 9354741313
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Gbsss School: Rpvv
City: Delhi City: Delhi
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: BT BLOCK SHALIMAR BAGH
  Centre code:
  Pin: 110088
  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 ?: I will focus on myself and my character building and i will study for onward studies .i will improve my english speaking skills.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: This course is good for me as it will provide me good knowledge about ships navigation and its machinery.
Why do you wish to join TMI?: I wish to join tmi as it has excellent faculty, good sports and hostel facilities. TmI also have very good placement records.
What are your hobbies?: My hobbies is to watch and play cricket and to meet new friends . I also watch movies and daily news.
What are your strengths?: My strength are my determination, confidence, my impactfull character, knowledge and my problem solving knowledge in critical situations.
What are your weaknesses?: My weakness is my family, distrustful, and my good sense of humour.
How do you intend to meet the expenses of this program?: Other - From relatives
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 ________________