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: Pragatee Chetry
Mother's Name: Nitu Chetry
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Oct 2003 Nationality: IND
Place of Birth: Roing Personal Identification Mark: A white mark just below the belly button
Blood Group: O +  
Date of Birth (DD/MM/YY): 28 Oct 2003 Nationality: IND
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : Pragatee Chetry 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: Police Colony, Roing Gangmouthan ,Behali
State: Arunachal Pradesh Country: India
Pin: 792110 City/District: LWD
Mobile no: 8837366539 Telephone No. with STD code:
Aadhar Card No:896832430723 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Naren Chetry Relationship with candidate: Father of Candidate
Parents Date of Birth: 20 May 1971 Parent's/Guardian's Occupation/Designation: Civil Service
Office Address:
Address: SP office , Changlang Do
Country: India State: Arunachal Pradesh
City/District: Changlang Pin: 792120
Tel: Mobile no.: 9612384489
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020 (Appearing for improvement)
Board: CBSE Board: Assam
School: Vivekananda Kendra Vidyalaya School: Salt Brook Academy
City: Roing City: Dibrughar
English %: 87 Board Roll No./Seat No.: 0449-20524
Aggregate Percentage: 85 School/College Code: 091950
  Address of School/College: Boiragimoth,Dibrughar
  Centre code: 077614
  Pin: 786003
  Contact Nos:
  Aggregate Percentage: 60
Details of Marks Secured in (10+2) Examination -

Physics 100 49 49
Chemistry 100 59 59
Mathematics 100 28 28
Physics, Chemistry & Mathematics combined Percentage: 45.33
English 100 62 62
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:
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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