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: DEG2195768
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Miranda Prince Nazareth
Mother's Name: Rovina
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Mar 2003 Nationality: Indian
Place of Birth: Vasai Personal Identification Mark: Moles
Blood Group: AB +  
Date of Birth (DD/MM/YY): 24 Mar 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Miranda Prince Nazareth Passport No.: V2492506
Date of Expiry: 04 Aug 2031 Place of Issue: Malad
(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: Shambhat Wadi, Near Holi Bazaar, Remedy, Vasai West Shambhar Wadi, Near Holi Baazar, Holi, Remedy , Vasai West
State: Maharashtra Country: India
Pin: 401201 City/District: Vasai
Mobile no: 7875277025 Telephone No. with STD code:
Aadhar Card No:908982515767 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rovina Miranda Relationship with candidate: Mother
Parents Date of Birth: 25 Sep 1978 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: Zilla Parishad, Bahadoli , Palghar Zilla Parishad, Bahadoli, Palghar
Country: India State: Maharashtra
City/District: Palghar Pin: 401404
Tel: Mobile no.: 9637872019
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: St Augustine High school School: Thomas Baptista Junior College
City: Vasai City: Vasai
English %: 63 Board Roll No./Seat No.: M031820
Aggregate Percentage: 78 School/College Code: 1808004
  Address of School/College: Thomas Baptista Junior College, near Papdy church, Papdy
  Centre code: 2311
  Pin: 401201
  Contact Nos:
  Aggregate Percentage: 87
Details of Marks Secured in (10+2) Examination -

Physics 100 84 84
Chemistry 100 89 89
Mathematics 100 87 87
Physics, Chemistry & Mathematics combined Percentage: 86.67
English 100 87 87
IMU CET Application Number: CET21U1003300  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Researching more about Merchant navy
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Yes I would love to join and study in TMI
What are your hobbies?: I love to play Badminton and Table tennis in my free time
What are your strengths?: Determination , Hardwork and Creativity
What are your weaknesses?: Public Speaking
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 ________________