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: Somya Ranjan Jena
Mother's Name: Soumendry Jena
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Oct 2003 Nationality: Indian
Place of Birth: Bhubaneswar Personal Identification Mark: None
Blood Group: AB +  
Date of Birth (DD/MM/YY): 07 Oct 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: Plot no.491 krishnapuri,malipada, Bhubaneswar Plot no.491 Krishnapuri, Malipada Bhubaneswar Plot no.491 Krishnapuri, Malipada Bhubaneswar
State: Orissa Country: India
Pin: 751003 City/District: Bhubaneswar
Mobile no: 9692276340 Telephone No. with STD code: 9692276340
Aadhar Card No:674492239772 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ranjan Kumar Jena Relationship with candidate: Father
Parents Date of Birth: 09 Jul 1969 Parent's/Guardian's Occupation/Designation: Government service
Office Address:
Address: Vishakapatnam Vishakapatnam Vishakapatnam
Country: India State: Orissa
City/District: Khorda Pin: 751003
Tel: Mobile no.: 8847868307
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya vidyalaya no 2 crpf campus Bhubaneswar School: Kendriya vidyalaya no 2 crpf campus Bhubaneswar
City: Bhubaneswar City: Bhubaneswar
English %: 95 Board Roll No./Seat No.: 12611722
Aggregate Percentage: 93 School/College Code: 19123
  Address of School/College: Kendriya vidyalaya no 2 crpf campus Bhubaneswar
  Centre code:
  Pin: 751011
  Contact Nos: 6742550822
  Aggregate Percentage: 83
Details of Marks Secured in (10+2) Examination -

Physics 100 79 79
Chemistry 100 76 76
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 75
English 100 91 91
IMU CET Application Number: 6017618  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for entrance exams,doing work out, travelling,etc
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Best placement
What are your hobbies?: Workout, travelling, listening music,movies, athelete,etc
What are your strengths?: Patience
What are your weaknesses?: Nothing
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 ________________