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: DEG2191044
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Shray rai
Mother's Name: Kavita rai
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Aug 2003 Nationality: INDIAN
Place of Birth: Gorakhpur Personal Identification Mark: Mole above right lips
Blood Group: A -  
Date of Birth (DD/MM/YY): 26 Aug 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: MA, 303 Moraj colony new panvel
State: Maharashtra Country: India
Pin: 410206 City/District: panvel
Mobile no: 9423504036 Telephone No. with STD code:
Aadhar Card No:545882340039 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ajay pratap rai Relationship with candidate: father
Parents Date of Birth: 02 Jul 1977 Parent's/Guardian's Occupation/Designation: asst. manager avrora
Office Address:
Address: 407, raheja arcade CBD Belapur, navi mumbai
Country: India State: Maharashtra
City/District: mumbai Pin: 400005
Tel: Mobile no.: 8106751925
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: navy children school mumbai School: navy children school mumbai
City: mumbai City: mumbai
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: new navy nagar, colaba, mumbai
  Centre code:
  Pin: 400005
  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 ?: with my family
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: the best professional and adventurous course
Why do you wish to join TMI?: best maritime institute in india
What are your hobbies?: listening to music, football, cricket
What are your strengths?: competitive, helping
What are your weaknesses?: lack of concentration
How do you intend to meet the expenses of this program?: 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 ________________