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: Rahul Yadav
Mother's Name: Sunita Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Nov 2003 Nationality: Indian
Place of Birth: Deoria Personal Identification Mark: Aadhar Card
Blood Group: O +  
Date of Birth (DD/MM/YY): 17 Nov 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: Banspar Baida Paikauli Maharaj Deoria
State: Uttar Pradesh Country: India
Pin: 274001 City/District: Deoria
Mobile no: 9369022239 Telephone No. with STD code:
Aadhar Card No:883690299590 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Navnath Yadav Relationship with candidate: Father
Parents Date of Birth: 15 Jul 1976 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Banspar Baida Paikouli Maharaj Deoria
Country: India State: Uttar Pradesh
City/District: Deoria Pin: 274001
Tel: Mobile no.: 9369022239
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: Deoria Senior Secondary School School: Deoria Senior Secondary School
City: Deoria City: Deoria
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 68 School/College Code:
  Address of School/College: Kasia Bypass Rd, Deoria
  Centre code:
  Pin: 274001
  Contact Nos: 09369022239
  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 ?: Playing Cricket
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think Nautical science is always good option for me because shipping industry and sail the world at large.
Why do you wish to join TMI?: Studied at Tolani Maritime Institute
What are your hobbies?: Playing Cricket
What are your strengths?: Leadership
What are your weaknesses?: Presentation Skills
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 ________________