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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Anand Pathak
Mother's Name: Sheela Pathak
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Nov 2003 Nationality: Indian
Place of Birth: Kolkata Personal Identification Mark: Cut mark on left side forehead
Blood Group: B +  
Date of Birth (DD/MM/YY): 19 Nov 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: 229/2 Banerjee para lane garulia P.O Shyamnagar north 24 PGS pin-743133
State: West Bengal Country: India
Pin: 743133 City/District: Kolkata
Mobile no: 7439807022 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sheela Pathak Relationship with candidate: Late Rajeev Pathak
Parents Date of Birth: 11 Mar 1978 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: Belgharia firah road Shyamnagar north 24 PGS pin-743133
Country: India State: West Bengal
City/District: Kolkata Pin: 743133
Tel: Mobile no.: 9748438503
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya vidyalaya School: Kendriya vidyalaya
City: Kolkata City: Kolkata
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: Barrackpore palta AFS North 24 PGS
  Centre code:
  Pin: 743133
  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 ?: Playing pc games and reading novels..
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Well I think Nautical science is always good option for anyone who is looking to be in the shipping industry and sail the world at large
Why do you wish to join TMI?: For good pay scale
What are your hobbies?: Playing football
What are your strengths?: Focused
What are your weaknesses?: Public speaking
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 ________________