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: Avinash Singh
Mother's Name: Charanjit kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Feb 2003 Nationality: Indian
Place of Birth: HOWRAH Personal Identification Mark: TURBAN
Blood Group: B +  
Date of Birth (DD/MM/YY): 10 Feb 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: 475 Sarat Chatterjee Road Bataitala Bazaar Near Punjab National Bank
State: West Bengal Country: India
Pin: 711103 City/District: HOWRAH
Mobile no: 9433400102 Telephone No. with STD code: 08100427951
Aadhar Card No:357630897027 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Nripjeet Singh Relationship with candidate: Father
Parents Date of Birth: 07 Jan 1964 Parent's/Guardian's Occupation/Designation: Retired Mechanical Engineer
Office Address:
Address: 475 Sarat Chatterjee Road Bataitala Bazaar Near Punjab National Bank
Country: India State: West Bengal
City/District: HOWRAH Pin: 711103
Tel: 03326880186 Mobile no.: 9433400102
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: St thomas Church School School: St Thomas Church School
City: HOWRAH City: Howrah
English %: 79 Board Roll No./Seat No.: 2213520/006
Aggregate Percentage: 77 School/College Code: WB069
  Address of School/College: 3, Church Rd, Howrah Railway Station, Kadam Tala, Howrah, West Bengal 711101
  Centre code: 2213520
  Pin: 711101
  Contact Nos: 8100427951
  Aggregate Percentage: 80
Details of Marks Secured in (10+2) Examination -

Physics 100 79 79
Chemistry 100 72 72
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 78.67
English 100 87 87
IMU CET Application Number:  
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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