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: DEG2192069
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Anuj Vaishya
Mother's Name: Puspa devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jun 2002 Nationality: Indian
Place of Birth: Merhauli Personal Identification Mark: Aadhar card
Blood Group: A +  
Date of Birth (DD/MM/YY): 16 Jun 2002 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: Power house Raniganj Pratapgarh
State: Uttar Pradesh Country: India
Pin: 230001 City/District: Pratapgarh
Mobile no: 9170418693 Telephone No. with STD code:
Aadhar Card No:280102292281 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rajkumar Vaishya Relationship with candidate: Father
Parents Date of Birth: 03 May 1969 Parent's/Guardian's Occupation/Designation: Buissness
Office Address:
Address: Shahpur road Raniganj Pratapgarh
Country: India State: Uttar Pradesh
City/District: Pratapgarh Pin: 230001
Tel: 9170418693 Mobile no.: 9170418693
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Uttar Pradesh Board: CBSE
School: Sangam international school School: Sangam international school
City: Katra medniganj pratapgarh City: Katra medniganj pratapgarh
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Address of School/College: Sangam international school
  Centre code:
  Pin: 230001
  Contact Nos: 9170418693
  Aggregate Percentage: 68
Details of Marks Secured in (10+2) Examination -

Physics 100 66 66
Chemistry 100 68 68
Mathematics 100 51 51
Physics, Chemistry & Mathematics combined Percentage: 61.67
English 100 76 76
IMU CET Application Number: CET21U1002903  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Cool
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: It is good as I have heard about it
What are your hobbies?: To speak english
What are your strengths?: My focus
What are your weaknesses?: Sanskrit language
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________