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: Sibiraj b
Mother's Name: Sasi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Apr 2004 Nationality: Indian
Place of Birth: Puducherry Personal Identification Mark: Mole on upper lip
Blood Group: O +  
Date of Birth (DD/MM/YY): 27 Apr 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: No.10 north street Nallavadu Puducherry
State: Tamil Nadu Country: India
Pin: 605007 City/District: Puducherry
Mobile no: 9952242366 Telephone No. with STD code:
Aadhar Card No:225175351037 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Bhagavathkaran Relationship with candidate: Single
Parents Date of Birth: 12 Sep 1978 Parent's/Guardian's Occupation/Designation: Fisher man
Office Address:
Address: No.10 north street Nallavadu Puducherry
Country: India State: Tamil Nadu
City/District: Puducherry Pin: 605007
Tel: Mobile no.: 9442086147
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Achariya Siksha Mandir School: Achariya Siksha Mandir
City: Puducherry City: Puducherry
English %: 76 Board Roll No./Seat No.: 20659151
Aggregate Percentage: 62 School/College Code: 56807
  Address of School/College: achariya siksha mandir villianur Puducherry
  Centre code: 56807
  Pin: 605110
  Contact Nos: 09442086147
  Aggregate Percentage: 73
Details of Marks Secured in (10+2) Examination -

Physics 100 76 76
Chemistry 100 79 79
Mathematics 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 71
English 100 70 70
IMU CET Application Number: 6001856  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for imu cet exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Marine engeenering is my dream
Why do you wish to join TMI?: It would a best and better institute for my higher studies
What are your hobbies?: Gym and fitness
What are your strengths?: Make my weekness as strength as soon as possible
What are your weaknesses?: Get distracted soon
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 ________________