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: DEG2190704
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ayush Gehlot
Mother's Name: Neetu singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Feb 2003 Nationality: Indian
Place of Birth: ghaziabad Personal Identification Mark: Mole on left hand
Blood Group: B +  
Date of Birth (DD/MM/YY): 14 Feb 2003 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: G11 Sector-9 New vijay nagar ghaziabad
State: Uttar Pradesh Country: India
Pin: 201009 City/District: ghaziabad
Mobile no: 7011872175 Telephone No. with STD code: 07011872175
Aadhar Card No:472901526200 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Hariom kumar Relationship with candidate: Father
Parents Date of Birth: 02 Jul 1976 Parent's/Guardian's Occupation/Designation: Loco pilot northern railway
Office Address:
Address: railway road ghaziabad Uttar pradesh
Country: India State: Uttar Pradesh
City/District: Ghaziabad Pin: 201009
Tel: 08929104816 Mobile no.: 7011872175
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: Holy trinity church school School: Holy trinity church school
City: ghaziabad City: Ghaziabad
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Address of School/College: railway road ghaziabad
  Centre code:
  Pin: 201009
  Contact Nos: 7011872175
  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 ?: Preparing for competition exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes, i have interest in this field. and it will be a great opportunity for me if i get a chance.
Why do you wish to join TMI?: It is the India no. 1 college in marine engineering and good placements.
What are your hobbies?: Swimming. Fitness. Sports
What are your strengths?: Never give up type attitude
What are your weaknesses?: Fear of failure
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 ________________