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.Sc. Nautical Science
Dossier ID: DEG2190921
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Ashish
Mother's Name: Pinki kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Jun 2004 Nationality: Indian
Place of Birth: Sonipat Personal Identification Mark: Burning sign on right foot
Blood Group: O -  
Date of Birth (DD/MM/YY): 30 Jun 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: Bajana khurd Ganour
State: Haryana Country: India
Pin: 131102 City/District: Sonipat
Mobile no: 8814884822 Telephone No. with STD code: 08814884822
Aadhar Card No:64935414012 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Pinki kumari Relationship with candidate: Father
Parents Date of Birth: 04 Oct 1980 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Bajana khurd Ganour
Country: India State: Haryana
City/District: Sonipat Pin: 131102
Tel: Mobile no.: 8814884822
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Haryana Board: Haryana
School: National sr. Sec. School School: National sr. Sec. School
City: Panipat City: Panipat
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Address of School/College: Krishanpura, panipat
  Centre code:
  Pin: 132103
  Contact Nos: 8814884822
  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 ?: Enjoy
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I want to join. Marchant Navy
Why do you wish to join TMI?: For study
What are your hobbies?: Playing
What are your strengths?: Common strengths include leadership, communication, or writing skills.
What are your weaknesses?: Public speaking
How do you intend to meet the expenses of this program?: Other - Farmer
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 ________________