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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Devansh Khanna
Mother's Name: Soni Khanna
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Aug 2003 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Mole below right ear
Blood Group: AB +  
Date of Birth (DD/MM/YY): 15 Aug 2003 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: 512/1/4 8th lane Nishatganj Lucknow
State: Uttar Pradesh Country: India
Pin: 226007 City/District: Lucknow
Mobile no: 9918870444 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Vikas Khanna Relationship with candidate: Father
Parents Date of Birth: 11 Jul 1972 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: Union bank of india Prem sagar nesbit road Mazgaon, mumbai
Country: India State: Maharashtra
City/District: Mumbai Pin: 40010
Tel: Mobile no.: 9984675444
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: ISCE
School: City montessori school School: City montessori school
City: Lucknow City: Lucknow
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: 90-A,Faizabad road mahanager, lucknow
  Centre code:
  Pin: 226006
  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 ?:
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:
Birth certificate not uploaded Class X marksheet not uploaded School leaving 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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