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: DEG2181399
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: Indian
Place of Birth: Kolkata Personal Identification Mark: cut mark on forehead
Blood Group: A +  
Date of Birth (DD/MM/YY): 02 May 2003 Nationality: Indian
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 floor Ballygunge
State: West Bengal Country: India
Pin: 700019 City/District: Kolkata
Mobile no: 9002080164 Telephone No. with STD code:
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
Country: India State: West Bengal
City/District: Kolkata Pin: 700043
Tel: Mobile no.: 9002080164
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: South Point High School School: Birla High School
City: Kolkata City: Kolkata
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Address of School/College: 1 Moira Street Elgin Kolkata
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
06/2012 Swimming Club None
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 other Competitive exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I was always fascinated to know how those huge ships sail in the vast ocean for months and I feel I am passionate about pursuing this career option
Why do you wish to join TMI?: TMI is very reputed for the high quality of education they offer and their high placement records
What are your hobbies?: Chess , swimming , cricket , badminton , story books , cycling
What are your strengths?: I am very curious of whatever I am being taught and I like to study in depth
What are your weaknesses?: I am 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 Leaving / Transfer Certificate / Birth Certificate 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 ________________