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.Tech. Marine Engineering
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Chandan kumar
Mother's Name: Geeta devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Feb 2002 Nationality: India
Place of Birth: Bihar Personal Identification Mark: Cut mark on forehead
Blood Group: A +  
Date of Birth (DD/MM/YY): 15 Feb 2002 Nationality: India
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: Unrawganj bihiya ,Bhojpur Arrah,bihar Nepali nagar mahaveer colony Ashiyana Digha road Patna Bihar 800025
State: Bihar Country: India
Pin: 800025 City/District: Patna
Mobile no: 9934462218 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Hare krishna thakur Relationship with candidate: Father
Parents Date of Birth: 24 Feb 1968 Parent's/Guardian's Occupation/Designation: Arrah
Office Address:
Address: Unrawganj bihiya Bhojpur Arrah,Bihar Nepali Nagar mahaveer colony Ashiyana Digha road Patna Bihar 800025
Country: India State: Bihar
City/District: Patna Pin: 800025
Tel: Mobile no.: 7870757043
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DPS kashii School: DPS kashi
City: Varanasi City: Varanasi
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: Babarpur ,kazisarai Varanasi 221105
  Centre code:
  Pin: 221105
  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 ?: Searching for college
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I like ocean
Why do you wish to join TMI?: It is the best institute for merchant navy. I got to know abou it
What are your hobbies?: Playing football
What are your strengths?: Iam hardworking
What are your weaknesses?: I am very much shy
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 ________________