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: Yadu krishnan
Mother's Name: Ambily G
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Aug 2003 Nationality: India
Place of Birth: SHGhospital Personal Identification Mark: Mark on backside right shoulder
Blood Group: A +  
Date of Birth (DD/MM/YY): 04 Aug 2003 Nationality: India
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: Saiprabha house KR puram P.O cherthala
State: Kerala Country: India
Pin: 688541 City/District: Alappuzha
Mobile no: 9497685293 Telephone No. with STD code:
Aadhar Card No:504899282176 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ambily G Relationship with candidate: Mother
Parents Date of Birth: 04 May 1977 Parent's/Guardian's Occupation/Designation: Staff nurse
Office Address:
Address: IndoAmerican hospital Westgate vaikom
Country: India State: Kerala
City/District: Alappuzha Pin: 688541
Tel: Mobile no.: 9072291871
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Kerala
School: St joseph public school pattanakad School: SNHSS sreekandeswaram
City: Alappuzha City: Alappuzha
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: SNHSS poochakal
  Centre code:
  Pin: 688526
  Contact Nos:
  Aggregate Percentage: 91
Details of Marks Secured in (10+2) Examination -

Physics 200 179 89.5
Chemistry 200 184 92
Mathematics 200 184 92
Physics, Chemistry & Mathematics combined Percentage: 91.17
English 100 79 79
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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 ________________

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