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.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Soham Das
Mother's Name: Subhamita Das
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 May 2003 Nationality: India
Place of Birth: Kolkata Personal Identification Mark: A mark on the skin covering upper left abdominal region
Blood Group: O -  
Date of Birth (DD/MM/YY): 21 May 2003 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Soham Das Passport No.: T2217513
Date of Expiry: 14 Mar 2029 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: Ag 97, SECTOR 2 SALT LAKE CITY Al 105, Sector 2 salt lake city
State: West Bengal Country: India
Pin: 700091 City/District: Kolkata
Mobile no: 9830519074 Telephone No. with STD code: 09830519074
Aadhar Card No:577785445895 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Subhamita Das Relationship with candidate: Mother
Parents Date of Birth: 17 Dec 1975 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: Ag 97, SECTOR 2 SALT LAKE CITY Al 105, Sector 2 salt lake city
Country: India State: West Bengal
City/District: Kolkata Pin: 700091
Tel: 09830519074 Mobile no.: 9830519074
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: The Frank Anthony Public School School: The Frank Anthony Public School
City: Kolkata City: Kolkata
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: 171 AJC BOSE ROAD
  Centre code:
  Pin: 700014
  Contact Nos: 09830519074
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Working on physical fitness
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It gives me an opportunity to travel places
Why do you wish to join TMI?: One of best marine engineering institutes in the country.
What are your hobbies?: Photography
What are your strengths?: Determination
What are your weaknesses?: Self confidence
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan,Other - Relatives
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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