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: Rajnish Patel
Mother's Name: Baby Sinha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jul 2004 Nationality: Indian
Place of Birth: Kashichak Personal Identification Mark: A cut marrk on left eyebrow
Blood Group: B +  
Date of Birth (DD/MM/YY): 24 Jul 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: Bhouar, Birnanwan Kashichak, Nawada
State: Bihar Country: India
Pin: 805130 City/District: Nawada
Mobile no: 6202564783 Telephone No. with STD code:
Aadhar Card No:908089614245 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Dasharath Prasad Relationship with candidate: father
Parents Date of Birth: 01 Jan 1951 Parent's/Guardian's Occupation/Designation: agriculture
Office Address:
Country: India State: Bihar
City/District: Nawada Pin: 805130
Tel: Mobile no.: 6203806579
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: St. Joseph Academy School: Mahavir Mundeswari S.S.School
City: biharsharif City: Nawada
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 72 School/College Code:
  Address of School/College: uprawan, kashichak
  Centre code:
  Pin: 805130
  Contact Nos:
  Aggregate Percentage: 72
Details of Marks Secured in (10+2) Examination -

Physics 100 78 78
Chemistry 100 63 63
Mathematics 100 78 78
Physics, Chemistry & Mathematics combined Percentage: 73
English 100 68 68
IMU CET Application Number: CET21U1000877  
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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 ________________

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