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: Yaduvar Bansal
Mother's Name: Monika Bansal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Mar 2003 Nationality: Indian
Place of Birth: Faridabad Personal Identification Mark: Mole on left palm
Blood Group: O +  
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) : Yaduvar Bansal Passport No.: S4555001
Date of Expiry: 03 Jul 2028 Place of Issue: Chandigarh
(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: House no. 1, first floor, sector-18, panchkula sector-18, panchkula
State: Haryana Country: India
Pin: 134109 City/District: Panchkula
Mobile no: 8427044600 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Monika Bansal Relationship with candidate: Mother
Parents Date of Birth: 24 Sep 1977 Parent's/Guardian's Occupation/Designation: Teacher
Office Address:
Address: Saint soldier school, sector-16, panchkula sector-16, panchkula
Country: India State: Haryana
City/District: Panchkula Pin: 134109
Tel: Mobile no.: 8427080600
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: saint soldier school School: saint soldier school
City: Panchkula City: Panchkula
English %: 98 Board Roll No./Seat No.:
Aggregate Percentage: 97 School/College Code:
  Address of School/College: Saint soldier school, sector-16, panchkula sector-16, panchkula
  Centre code:
  Pin: 134109
  Contact Nos: 08427080600
  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 ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
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 ________________

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