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: Disha Ghosh
Mother's Name: Durba Ghosh
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Jan 2003 Nationality: Indian
Place of Birth: India Personal Identification Mark: No
Blood Group: B +  
Date of Birth (DD/MM/YY): 20 Jan 2003 Nationality: Indian
Gender (M/F): Female 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: Narua sarkar para Chandannagar,hooghly Narua sarkar para chandannagar,hooghly
State: West Bengal Country: India
Pin: 712136 City/District: Hooghly
Mobile no: 9831651284 Telephone No. with STD code:
Aadhar Card No:657052858870 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Durba Ghosh Relationship with candidate: Mother
Parents Date of Birth: 08 Jul 1978 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Narua sarkar para Chandannagar,hooghly Narua sarkar para Chandannagar ,hooghly
Country: India State: West Bengal
City/District: Hooghly Pin: 712136
Tel: Mobile no.: 9831651284
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Techno India Group Public School School: Techno India Group Public School
City: Chnisurah City: Chinsurah
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: Khadinamore chinsurah,hooghly
  Centre code:
  Pin: 712103
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
02/2017 Taekwondo International 1st Dan Black Belt
10/2014 Taekwondo 34th National Taekwondo Championship 2nd position
12/2016 Taekwondo International 3rd position
10/2020 India Classical Dance Rabindra Bharati University Calcutta Fifth year exam 1st division with distinction
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to spend my time in my extra curricular activities because they give me immense pleasure.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is a good option for me because I think I am capable of making myself established in a male oriented profession.
Why do you wish to join TMI?: I wish to join TMI because I would be able to gain complete knowledge about my course and excel in it.
What are your hobbies?: Dancing, painting and martial arts.
What are your strengths?: Creativity and versatility
What are your weaknesses?: Being straight-forward
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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