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.Tech. Marine Engineering
Dossier ID: DEG2190853
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Velivela Dharmik Sai
Mother's Name: Manjula
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Sep 2003 Nationality: Indian
Place of Birth: Hyderabad Personal Identification Mark: Rash near eyebrow
Blood Group: O -  
Date of Birth (DD/MM/YY): 06 Sep 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: Bhel Hig hno.20 Rd no 18
State: Other Country: India
Pin: 502032 City/District: Hyderabad
Mobile no: 9100382904 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajasekhar Velivela Relationship with candidate: Father
Parents Date of Birth: 25 Oct 1976 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Bhel Hig hno.20 Rd no 18
Country: India State: Other
City/District: Hyderabad Pin: 502032
Tel: Mobile no.: 8790523529
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board:
School: Maharishi Vidya Mandir School: Deeksha jr clg
City: Hyderabad City: Hyderabad
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Miyapur
  Centre code:
  Pin: 502032
  Contact Nos: 08790523529
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading books watching movies series
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Passion
Why do you wish to join TMI?: Best institute
What are your hobbies?: Movies
What are your strengths?: Communication
What are your weaknesses?: Insecure
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
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 ________________