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: Anubhav Parashar
Mother's Name: Renu Pandey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Sep 2001 Nationality: Indian
Place of Birth: Rohtas Personal Identification Mark: A wound mark on the ankle of left leg
Blood Group: O +  
Date of Birth (DD/MM/YY): 12 Sep 2001 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: Rly colony QR no.68/B Dehri on sone
State: Bihar Country: India
Pin: 821305 City/District: Rohtas
Mobile no: 9304208856 Telephone No. with STD code:
Aadhar Card No:411577652661 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sanjeev Pandey Relationship with candidate: Father
Parents Date of Birth: 15 Jan 1971 Parent's/Guardian's Occupation/Designation: Govt. Service
Office Address:
Address: Railway Dehri on sone
Country: India State: Bihar
City/District: Rohtas Pin: 821305
Tel: Mobile no.: 9931841996
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Bihar
School: Model school School: Dr. Gupteshwar Prasad Singh Nand Kishor Narayan Singh memorial inter College
City: Dehri on sone City: Dehri on sone
English %: 86 Board Roll No./Seat No.: 20010032
Aggregate Percentage: 88 School/College Code: 24110
  Address of School/College: Chandragarh
  Centre code: 824101
  Pin: 824301
  Contact Nos:
  Aggregate Percentage: 81
Details of Marks Secured in (10+2) Examination -

Physics 100 73 73
Chemistry 100 73 73
Mathematics 100 96 96
Physics, Chemistry & Mathematics combined Percentage: 80.67
English 100 85 85
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: In the preparation of merchant Navy exam.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I am a very adventurous person who likes to be outdoors and is not interested in a monotonous 10-5 job.
Why do you wish to join TMI?: Quick promotions
What are your hobbies?: Travelling
What are your strengths?: My honesty and dedication towards my work.
What are your weaknesses?: Easily believed on others and its feels very bad when I get cheated.
How do you intend to meet the expenses of this program?: Own Resources
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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