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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Paras Raj Singh
Mother's Name: Rakhi Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Nov 2003 Nationality: Indian
Place of Birth: Bhopal Personal Identification Mark: mole on chest to the right
Blood Group: A +  
Date of Birth (DD/MM/YY): 14 Nov 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Paras Raj Singh Passport No.: S3116022
Date of Expiry: 13 Nov 2021 Place of Issue: Bhopal
(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: 51, Durgesh Vihar, JK road, Bhopal 51, Durgesh Vihar, JK road, Bhopal
State: Madhya Pradesh Country: India
Pin: 462041 City/District: Bhopal
Mobile no: 9893945460 Telephone No. with STD code: 0755-4262830
Aadhar Card No:295682961076 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rakhi Singh Relationship with candidate: Mother
Parents Date of Birth: 21 Jul 1976 Parent's/Guardian's Occupation/Designation: .Business
Office Address:
Address: 50, Durgesh Vihar, JK road, Bhopal 50, Durgesh Vihar, JK road, Bhopal
Country: India State: Madhya Pradesh
City/District: Bhopal Pin: 462041
Tel: 07554262830 Mobile no.: 9893945460
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Delhi Public School Bhopal School: Delhi Public School Bhopal
City: Bhopal City: Bhopal
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: Delhi Public School Near Neelbad Crossing, Bhadbhada Road Bhopal
  Centre code:
  Pin: 462044
  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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