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.Tech. Marine Engineering
Dossier ID: DEG7067906
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: SUJIT RAJ
Mother's Name: Sushma Barnwal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Sep 2002 Nationality: Indian
Place of Birth: Jamshedpur Personal Identification Mark: Brown mark on right side of face
Blood Group: A +  
Date of Birth (DD/MM/YY): 24 Sep 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : SUJIT RAJ Passport No.: U3513172
Date of Expiry: 27 Dec 2030 Place of Issue: RANCHI
(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: Flat no.B-G, Ashoka Apartment, Road no.2, Kusum Vihar Morabadi, Ranchi, Jharkhand.
State: Jharkhand Country: India
Pin: 834008 City/District: Ranchi
Mobile no: 9798627096 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Gopal Prasad Barnwal Relationship with candidate: Father
Parents Date of Birth: 08 Oct 1970 Parent's/Guardian's Occupation/Designation: Executive Electrical Engineer,JBVNL
Office Address:
Address: Ese Office, Zulu Park Road Hazaribagh
Country: India State: Jharkhand
City/District: Hazaribagh Pin: 825301
Tel: Mobile no.: 8002897033
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DAV Public School School: DAV Public School
City: Ranchi City: Ranchi
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Address of School/College: Bariatu Road, Ranchi, Jharkhand
  Centre code:
  Pin: 834009
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: To learn swimming
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think it is a good option for me because it teaches a lot of things like discipline, patience team work and gives lot of exposure
Why do you wish to join TMI?: I wish to join TMI because it has great infrastructure, faculty, placement record
What are your hobbies?: Listen to music, read books, play games
What are your strengths?: I am good in doing things precisely
What are your weaknesses?: I am unable to express myself properly but I am working to improve it.
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
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 ________________

Print Summary and Application Form