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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Pratheep s
Mother's Name: Vijaya rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Jan 2004 Nationality: Indian
Place of Birth: Tamilnadu Personal Identification Mark: Black mole present in right leg
Blood Group: B +  
Date of Birth (DD/MM/YY): 22 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: 1-76/6 mullai nager ramaparambu thuckalay tamilnadu Thuckalay Tamilnadu
State: Tamil Nadu Country: India
Pin: 629175 City/District: Kanyakumari
Mobile no: 6385847159 Telephone No. with STD code: 6385847159
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: P sree Rama perumal Relationship with candidate: Father
Parents Date of Birth: 31 Jul 1971 Parent's/Guardian's Occupation/Designation: Lic cashier thuckalay
Office Address:
Address: Lic office Thuckalay Kanniya kumari
Country: India State: Tamil Nadu
City/District: Kanyakumari Pin: 629175
Tel: 9486910420 Mobile no.: 6385847159
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021 (Appearing for improvement)
Board: Tamil Nadu Board: Tamil Nadu
School: Amala matric higher secondary school School: Amala matric higher secondary school
City: Kanyakumari City: Thuckalay
English %: 65 Board Roll No./Seat No.: 3005705
Aggregate Percentage: 86 School/College Code: 639174
  Address of School/College: Amala matric higher secondary school
  Centre code: 3005700
  Pin: 629175
  Contact Nos: 06385847159
  Aggregate Percentage: 86
Details of Marks Secured in (10+2) Examination -

Physics 100 86 86
Chemistry 100 84 84
Mathematics 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 84.33
English 100 89 89
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
Dustrict level football player Runner Swimmer Body builder
Kabaddi player Player Player Player
Player Player Player Player
Player Player Player Player
How do you intend spending your time after completing class XII Final exams and before joining college ?: Yes
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Ofcourse
Why do you wish to join TMI?: Yes
What are your hobbies?: I want to live in independent without depending on others
What are your strengths?: Learning
What are your weaknesses?: Mouth
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 ________________