Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science 2021)


Application Summary:
 
Course Enrolled (First Choice): B.Sc. Nautical Science Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2181412 Name: SRIJEET CHAKRABORTY
  Address: 18/16/1 Fern Road, 3rd Floor, PO-BALLYGUNGE
Telephone No.: 03340610119 Mobile no: 9433084961
E-mail: csubhranshu1968@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 432171465
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2181412 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2181412
 
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, PO-BALLYGUNGE
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: csubhranshu1968@gmail.com
 
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: NEW ADMINISTRATIVE BUILDING , 5th Floor 11 Garden Reach Road SOUTH EASTERN RAILWAY, GardenReach
Country: India State: West Bengal
City/District: KOLKATA Pin: 700043
Tel: Mobile no.: 9002080164
Fax: Email: csubhranshu@yahoo.in
 

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.: 12639318
Aggregate Percentage: 94 School/College Code: 15563
  Address of School/College: 1 MOIRA STREET, KOLKATA
  Centre code: 15563
  Pin: 700017
  Contact Nos:
  Email: principal@birlahighschool.com
  Aggregate Percentage: 92
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 92 92
Chemistry 100 95 95
Mathematics 100 89 89
Physics, Chemistry & Mathematics combined Percentage: 92
English 100 91 91
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
06/2012 Swimming Club None
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2013 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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

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Date ________________

 
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