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: DEG2190186
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: VIJAYARAGAVAN S
Mother's Name: MEENA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Mar 2004 Nationality: INDIAN
Place of Birth: TIRUCHI Personal Identification Mark: SCARE ON FORE HEAD
Blood Group: O +  
Date of Birth (DD/MM/YY): 09 Mar 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: Tiruchirapalli
(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: old no 13,General Bazar St . Tennur
State: Tamil Nadu Country: India
Pin: 620017 City/District: Tiruchirapalli
Mobile no: 9443133700 Telephone No. with STD code: 09443133700
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Senthilkumar Vijayarangam Relationship with candidate: father
Parents Date of Birth: 06 Mar 1969 Parent's/Guardian's Occupation/Designation: I T CONSULTANT
Office Address:
Address: 13,General Bazar St . Tennur
Country: India State: Tamil Nadu
City/District: Tiruchirapalli Pin: 620017
Tel: Mobile no.: 9443133700
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: kamala niktan montessori school School: kamala niketan montessori school
City: Tiruchirapalli City: Tiruchirapalli
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: 6 maris avenue,collector office road
  Centre code:
  Pin: 620001
  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 ?: appearing for competetive exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: come to know thru website
Why do you wish to join TMI?: best college
What are your hobbies?: painting music photography
What are your strengths?: good listener
What are your weaknesses?: quick answerer
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 Leaving / Transfer Certificate / Birth Certificate 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 ________________