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: DEG2190893
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sanjeev Kumar rai
Mother's Name: Sunita devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2004 Nationality: Indian
Place of Birth: Mungaon Personal Identification Mark: No
Blood Group: B +  
Date of Birth (DD/MM/YY): 01 Jan 2004 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: Mungaon, buxar , Bihar Mungaon buxar ,Bihar
State: Bihar Country: India
Pin: 802126 City/District: Buxar
Mobile no: 9304172619 Telephone No. with STD code:
Aadhar Card No:272427263556 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Brijesh Kumar rai Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1985 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Mungaon, buxar , Bihar Mungaon buxar ,Bihar
Country: India State: Bihar
City/District: Buxar Pin: 802126
Tel: Mobile no.: 9304172619
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Krishna public school School: St. Karence high school
City: Patna City: Patna
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Gola road ,patna, bihar
  Centre code:
  Pin: 801503
  Contact Nos: 09304172619
  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 ?: Quality time witth family and little bit learnt coding.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: my dream is to join marchant neavy .. and merine engeneering is the step towards it..
Why do you wish to join TMI?: For best educational qualification
What are your hobbies?: Reading books, playing cricket..
What are your strengths?: my dedication about my work.
What are your weaknesses?: sleep
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 ________________