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: DEG2199410
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sujal Santosh Jadhav
Mother's Name: Anjana
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Feb 2004 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Mole on backside of neck
Blood Group: O +  
Date of Birth (DD/MM/YY): 12 Feb 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: 4, janjikar street, Vidhya bhavan, 2nd floor,Room no. 26 Mandi koliwada, Masjid west
State: Maharashtra Country: India
Pin: 400003 City/District: Mumbai
Mobile no: 8692846928 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Santosh Vyenkatesh Jadhav Relationship with candidate: Father
Parents Date of Birth: 04 Jul 1976 Parent's/Guardian's Occupation/Designation: Self employed
Office Address:
Address: 4, janjikar street, Vidhya bhavan, 2nd floor, Room no. 26 Mandvi koliwada, Masjid west
Country: India State: Maharashtra
City/District: Mumbai Pin: 400003
Tel: Mobile no.: 8692846928
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: 10 School: Wilson Colege
City: Mumbai City: Mumbai
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Address of School/College: Girgaon Chowpaty Seaface Road,
  Centre code:
  Pin: 400007
  Contact Nos:
  Aggregate Percentage: 89
Details of Marks Secured in (10+2) Examination -

Physics 100 90 90
Chemistry 100 83 83
Mathematics 100 91 91
Physics, Chemistry & Mathematics combined Percentage: 88
English 100 88 88
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
10/2018 Athletics District 2nd
09/2019 Karate National 3rd
How do you intend spending your time after completing class XII Final exams and before joining college ?: By preparing for entrance exam and playing my favorite game football
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 a reputed institute. The level of teaching is good . The placement are also give through campus interview
What are your hobbies?: Playing football, cricket and athletics.
What are your strengths?: My parents
What are your weaknesses?: That I trust people within a movement
How do you intend to meet the expenses of this program?: Bank Loan
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 ________________