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: DEG7068170
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Anirudha Singh
Mother's Name: Pooja Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jun 2003 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: Mole on inside of right wrist
Blood Group: B +  
Date of Birth (DD/MM/YY): 17 Jun 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Anirudha Singh Passport No.: S5927642
Date of Expiry: 19 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 317 Sector 23 Gurgaon
State: Haryana Country: India
Pin: 122017 City/District: Gurgaon
Mobile no: 9971284502 Telephone No. with STD code: 09971284502
Aadhar Card No:970693698074 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sidharatha Singh Relationship with candidate: Father
Parents Date of Birth: 30 Apr 1974 Parent's/Guardian's Occupation/Designation: Government Service /Army Officer
Office Address:
Address: Army HQ E-in-C Branch New Delhi
Country: India State: Delhi
City/District: Delhi Pin: 110011
Tel: 09971284502 Mobile no.: 9971284502
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Army Public School School: Army Public School
City: Ambala City: New Delhi
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Address of School/College: Army Public School Ridge Road Dhaula Kuan Delhi Cantt New Delhi
  Centre code:
  Pin: 110021
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
05/2019 Basketball School Team Second
How do you intend spending your time after completing class XII Final exams and before joining college ?: Appear for competitive exams Meet friends and relatives Play Games
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Iam interested in outdoor and adventurous profession Merchant Navy is a right choice
Why do you wish to join TMI?: TMI being rated as one of the best institutions in this field and positive feedback from ex students
What are your hobbies?: Playing outdoor games, listening to music and reading
What are your strengths?: Iam hardworking, dedicated and disciplined in all my dealings
What are your weaknesses?: Sometimes tends to spend extra time on my hobbies
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport 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 ________________