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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: TATHAGAT RAJ
Mother's Name: Chandra Prabha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Jan 2004 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: Black dot on left ring finger
Blood Group: A +  
Date of Birth (DD/MM/YY): 04 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: Hajipur road In front of Malang Aasthan Ramdyalu nagar
State: Bihar Country: India
Pin: 842002 City/District: Muzaffarpur
Mobile no: 7357252214 Telephone No. with STD code:
Aadhar Card No:895463846629 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ranjit Kumar Relationship with candidate: Father
Parents Date of Birth: 09 Mar 1974 Parent's/Guardian's Occupation/Designation: Government officer
Office Address:
Address: Bhagwanpur chowk Rewa road
Country: India State: Bihar
City/District: Muzaffarpur Pin: 842002
Tel: Mobile no.: 9835425518
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Birla Vidya Mandir School: Global International
City: Nainital City: Muzaffarpur
English %: 75 Board Roll No./Seat No.: 22638746
Aggregate Percentage: 79 School/College Code: 65467
  Address of School/College: Near Ramdyalu over bridge Muzaffarpur
  Centre code:
  Pin: 842002
  Contact Nos:
  Aggregate Percentage: 81
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: CET21U1011398  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Placement
What are your hobbies?: Researching
What are your strengths?: Focused
What are your weaknesses?: Creativity
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 ________________