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: DEG7068059
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Karan Roy
Mother's Name: Mukta Roy
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Mar 2002 Nationality: Indian
Place of Birth: Siliguri Personal Identification Mark: Mole on right shoulder
Blood Group: A +  
Date of Birth (DD/MM/YY): 28 Mar 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Karan Roy Passport No.: U3876767
Date of Expiry: 09 Sep 2030 Place of Issue: Kolkata
(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: Netaji lane, Modhya Shantinagar, 2 No. Dabgram, PO- Dabgram Siliguri-734004, West Bengal Netaji lane, Modhya Shantinagar, 2 No. Dabgram, PO- Dabgram Siliguri-734004, West Bengal
State: West Bengal Country: India
Pin: 734004 City/District: Siliguri
Mobile no: 8768579104 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kabilal Roy Relationship with candidate: Father
Parents Date of Birth: 26 Sep 1974 Parent's/Guardian's Occupation/Designation: Mechanic
Office Address:
Address: Netaji lane, Modhya Shantinagar, 2 No. Dabgram, PO- Dabgram Siliguri-734004, West Bengal Netaji lane, Modhya Shantinagar, 2 No. Dabgram, PO- Dabgram Siliguri-734004, West Bengal
Country: India State: West Bengal
City/District: Siliguri Pin: 734004
Tel: Mobile no.: 7407368434
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: SHMD School School: SHMD School
City: Jaigaon City: Jaigaon
English %: 88 Board Roll No./Seat No.: 12634698
Aggregate Percentage: 79 School/College Code: 15693
  Address of School/College: Subhash Pally, Jaigaon-736182, West Bengal
  Centre code: 1753
  Pin: 736182
  Contact Nos:
  Aggregate Percentage: 73
Details of Marks Secured in (10+2) Examination -

Physics 100 70 70
Chemistry 100 76 76
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 70.67
English 100 78 78
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
07/2019 Basketball InterSchool Basketball Competition 2nd
How do you intend spending your time after completing class XII Final exams and before joining college ?: Gaining knowledge and Playing Sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: High Income on top of that Tax-free, Long Vacations
Why do you wish to join TMI?: As TMI is one of the most reputed institute of India it will guide me achieve my goal.
What are your hobbies?: Sketching, Reading News, Cooking and Playing Sports.
What are your strengths?: I overcome my failures easily without taking much stress and thinking about it over and over, my general knowledge is good, I am good in sports.
What are your weaknesses?: Stage Fright, emotional
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________