Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Lateral Entry - B.Tech (Marine Engineering)


Dossier ID: LTE2051676
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: Amar Nath Hazam
Mother's Name: Gangotri devi  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 26 Nov 1997 Name as per passport:Amar Nath Hazam
Passport No.: T9124817 Date of Expiry:
Place of Issue: India Nationality: Indian

(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.)

Place of Birth: Ranchi Personal Identification Mark: Cut mark on forehead
Blood Group: B + Address for Communication: C/O DR.KUSUM PRASAD,NEAR FIRING RANGE, BARIATU Ranchi
State: Jharkhand Country: India
Pin: 834009 City/District: RANCHI
Mobile no: 8340582694 Telephone No. with STD code:
Aadhar Card No:231598537954 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Krishna Hazam Relationship with candidate: Father
Parents Date of Birth: 03 Jan 1964 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Country: India State: Jharkhand
City/District: RANCHI Pin: 834009
Tel: Mobile no.: 9835375054
Fax: Email:

Education and Academic Record :

Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2014 Year of Joining: 2017
Board: CBSE Year of Passing: 2020
School Name: DAV PUBLIC SCHOOL BARIATU Board: West Bengal
City: RANCHI Name of College/Institution: Amar Nath Hazam
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 66 First year: 71
English: 66 Second year: 68
Address of School/College: DAV Campus, Opp Housing Colony, Bariatu RD, Bariatu, Ranchi, Jharkhand 834009 Third year:
Pin: 834009 Aggregate Percentage:
Contact Nos: 06512541191  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
09/2015 Basketball Icse zonal level basketball tournament Second
04/2018 Make best out of waste Tech craze 2k18 skfgi tech fest First
09/2018 Ramp walk Refresko 2k18 Ramp walk competition First
Why do you wish to join TMI?: Marine engineering is considered one of the toughest field where your mental toughness as well as your physical ability is tested. At present this is the best maritime academy in india with the maximum training knowledge and placement percentage. As i see my needs will be definitely fulfilled by your University so my goal as well
What are your hobbies?: Playing outdoor sports, Traveling, Cooking, Make best out of waste,hinking, music, sketching, gardening, etc
What are your strengths?: Team player, Time management abilities, ability to perform under pressure, disciplined, creativity, respectfulness, honesty
What are your weaknesses?: Insecure, self criticism, take on too much responsibility
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan

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

Signature of Candidate



Date ________________