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.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aman Chandra
Mother's Name: Ruby Chandra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Feb 2004 Nationality: Indian
Place of Birth: Agra Personal Identification Mark: Cut mark on forehead
Blood Group: O -  
Date of Birth (DD/MM/YY): 15 Feb 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: Shri Ram Nagar Vikas Nagar ,Zara Tola Ramgarh Cantt
State: Jharkhand Country: India
Pin: 829122 City/District: Ramgarh
Mobile no: 8228842041 Telephone No. with STD code:
Aadhar Card No:503168191265 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Malay Kumar Chandra Relationship with candidate: Father
Parents Date of Birth: 16 Aug 1970 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: PNB Larikalan Larikalan PS Rajrappa
Country: India State: Jharkhand
City/District: Ramgarh Pin: 829122
Tel: Mobile no.: 9973908880
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya Ramgarh Cantt School: Kendriya Vidyalaya Ramgarh Cantt
City: Ramgarh City: Ramgarh
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Address of School/College: Ramgarh Cantt
  Centre code:
  Pin: 829122
  Contact Nos: 8228842041
  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 ?: Coding , Web development , prepration for NDA
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Desire for adventure
Why do you wish to join TMI?: Best institute for Marine Engineering
What are your hobbies?: Coding , Practicing Maths
What are your strengths?: Solving Maths
What are your weaknesses?: Laziness
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 ________________