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: Samrudh
Mother's Name: Swapna
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Dec 2002 Nationality: Indian
Place of Birth: Chikmagalur Personal Identification Mark: none
Blood Group: A +  
Date of Birth (DD/MM/YY): 10 Dec 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Samrudh Passport No.: U9568297
Date of Expiry: 14 Mar 2031 Place of Issue: Bengaluru
(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: Samrudh Nilaya, 1st cross , near gandhi park Gandhi nagar Chikkamagalur 577101
State: Karnataka Country: India
Pin: 577101 City/District: Chikmagalur
Mobile no: 9606324995 Telephone No. with STD code: 09606324995
Aadhar Card No:237744143858 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Swapna Relationship with candidate: Mother
Parents Date of Birth: 15 Jul 1979 Parent's/Guardian's Occupation/Designation: Pg Owner
Office Address:
Address: Samrudh Nilaya, 1st cross , near gandhi park Gandhi nagar Chikkamagalur 577101
Country: India State: Karnataka
City/District: Chikmagalur Pin: 577101
Tel: 07892938664 Mobile no.: 7892938664
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: Karnataka
School: St Marys School: St marys
City: Chikmagalur City: chikkamagalur
English %: 64 Board Roll No./Seat No.: 977492
Aggregate Percentage: 77 School/College Code: HH098
  Address of School/College: KM Road,chikkamagalur
  Centre code: XC3115
  Pin: 577101
  Contact Nos:
  Aggregate Percentage: 88
Details of Marks Secured in (10+2) Examination -

Physics 100 88 88
Chemistry 100 78 78
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 83.33
English 100 94 94
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
08/2016 Volleyball state runners
How do you intend spending your time after completing class XII Final exams and before joining college ?: Ive completed my 12th from batch 2020,and meanwhile ive taken classes for cpl, and preparing for ug admission
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because i always wanted to be a sailor or a pilot, having a degree will help me in future
Why do you wish to join TMI?: As tolani is the best college, having a degree from this college will help me a lot in future, and the faculties here are well qualified
What are your hobbies?: I Play Cricket,volleyball and also do aurdino,coding etc with ref
What are your strengths?: leadership
What are your weaknesses?: failure,public speaking
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 ________________