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: Srijeet Chakraborty
Mother's Name: Baisakhi Chakraborty
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 May 2003 Nationality: India
Place of Birth: Kolkata Personal Identification Mark: cut mark on forehead
Blood Group: A +  
Date of Birth (DD/MM/YY): 02 May 2003 Nationality: India
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: 18/16/1 Fern Road , 3rd florr Ballygunge Kolkata
State: West Bengal Country: India
Pin: 700019 City/District: Kolkata
Mobile no: 9433084961 Telephone No. with STD code: 03340610119
Aadhar Card No:733807864299 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Subhrangshu Chakraborty Relationship with candidate: Father
Parents Date of Birth: 06 Mar 1968 Parent's/Guardian's Occupation/Designation: Service in Indian Railways
Office Address:
Address: 11 Gardenreach Road New Administrative Building , 5th Floor Kolkata
Country: India State: West Bengal
City/District: Kolkata Pin: 700043
Tel: Mobile no.: 9433084961
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Birla High School School: Birla High School
City: Kolkata City: Kolkata
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Address of School/College: 1 Moira Street , Kolkata-700017
  Centre code:
  Pin: 700017
  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:  
Vocational and Training Courses undertaken:
03/2013 Abacus 3 years
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for competitive exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I like to learn about huge ships and how they function and want to pursue it as my career
Why do you wish to join TMI?: TMI is very reputed in training students for merchant navy and is well known for their high placement records
What are your hobbies?: Chess , swimming , cricket , story books
What are your strengths?: I am very hardworking and like to learn in depth of the subjects that I study
What are your weaknesses?: Speaking skills are not too good i feel , but I am trying to improve on it by taking public speaking classes in school , I am also a little introvert I feel so
How do you intend to meet the expenses of this program?: Bank Loan
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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