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: DEG2190242
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: No
Mother's Name: Ramanamma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Jun 2003 Nationality: Indian
Place of Birth: Karlam Personal Identification Mark: A mile
Blood Group: O +  
Date of Birth (DD/MM/YY): 02 Jun 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : No Passport No.: No
Date of Expiry: Place of Issue: No
(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: 58-23-29/5/2 Jayaprakashnagar Baji junction
State: Andhra Pradesh Country: India
Pin: 530827 City/District: Visakhapatnam
Mobile no: 9059392083 Telephone No. with STD code: 9059392083
Aadhar Card No:895826170247 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Dudu LAKSHMANA rao Relationship with candidate: Son
Parents Date of Birth: 07 Jul 1977 Parent's/Guardian's Occupation/Designation: Labour woker
Office Address:
Address: 58-23-29/5/2 Baji junction Baji junction
Country: India State: Andhra Pradesh
City/District: Visakhapatnam Pin: 530027
Tel: 9573790362 Mobile no.: 9573790362
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Andhra Pradesh Board: Andhra Pradesh
School: Narayana high school School: Narayana junior college
City: Visakhapatnam City: Visakhapatnam
English %: 9 Board Roll No./Seat No.:
Aggregate Percentage: 9 School/College Code:
  Address of School/College: 58-23-29/5/2 Baji junction
  Centre code:
  Pin: 530027
  Contact Nos: 09573790362
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 150
Chemistry 150
Mathematics 300
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number: No  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Family member
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: All students join mechanical engineering andi cec because finally join marine
Why do you wish to join TMI?: Because average fee
What are your hobbies?: Reading books listening songs
What are your strengths?: My family members
What are your weaknesses?: Sleeping
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet not uploaded

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________