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.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: CBSE Appearing results
Mother's Name: Pushpa devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Apr 2003 Nationality: INDIAN
Place of Birth: Udaipur Personal Identification Mark: Black back mark
Blood Group: AB +  
Date of Birth (DD/MM/YY): 30 Apr 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:
(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: 5th. Gokul village udaipur Chawand Dayli
State: Rajasthan Country: India
Pin: 313001 City/District: Udaipur
Mobile no: 9799775601 Telephone No. with STD code: 07976426307
Aadhar Card No:629905044236 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Harshita kalal Relationship with candidate: DNS
Parents Date of Birth: 22 Aug 1974 Parent's/Guardian's Occupation/Designation: Mechanical engineering
Office Address:
Address: 5th. Gokul village udaipur Chawand Dayli
Country: India State: Rajasthan
City/District: Udaipur Pin: 313001
Tel: Mobile no.: 9799775601
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: The scholars arena School: The scholar arena school
City: Udaipur City: Udaipur
English %: 43 Board Roll No./Seat No.:
Aggregate Percentage: 44 School/College Code:
  Address of School/College: 5th. Gokul village udaipur
  Centre code:
  Pin: 313001
  Contact Nos: 07976426307
  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 ?: No
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I can learn more about ship and sea life it very reasonable job
Why do you wish to join TMI?: Good placement and good faculty
What are your hobbies?: Playing outdoor game searching new technology in car
What are your strengths?: Mother and father
What are your weaknesses?: My mother
How do you intend to meet the expenses of this program?: Own Resources
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 ________________