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: DEG2190868
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Raghav Goel
Mother's Name: Mamta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Sep 2002 Nationality: Indian
Place of Birth: Karnal Personal Identification Mark: Mark on left foot
Blood Group: O +  
Date of Birth (DD/MM/YY): 02 Sep 2002 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: 629, Mitthan Mohalla Near Jain Mandir
State: Haryana Country: India
Pin: 132001 City/District: Karnal
Mobile no: 9050892902 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Bhupinder Goel Relationship with candidate: Father
Parents Date of Birth: 31 Oct 1973 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Gupta Enterprises, Market Committee Road Backside Gaushalla, Cooler wali Gali
Country: India State: Haryana
City/District: Karnal Pin: 132001
Tel: Mobile no.: 7015779702
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Dyal Singh Public School School: Dyal Singh Public School
City: Karnal City: Karnal
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Address of School/College: Dyal Singh Colony, Karnal
  Centre code:
  Pin: 132001
  Contact Nos:
  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 ?: Jee preparation
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: For studies
What are your hobbies?: -
What are your strengths?: -
What are your weaknesses?: -
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 Leaving / Transfer Certificate / Birth Certificate 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 ________________