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: Sayak Das
Mother's Name: Swapna Pailen
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Nov 2003 Nationality: Indian
Place of Birth: Asansol Personal Identification Mark: Mark on forehead
Blood Group: B +  
Date of Birth (DD/MM/YY): 11 Nov 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: Bharsalapara , Rampurhat , Birbhum Bharsalapara , Rampurhat , Birbhum
State: West Bengal Country: India
Pin: 731224 City/District: Rampurhat
Mobile no: 9002695458 Telephone No. with STD code: 08250245853
Aadhar Card No:726844414384 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Swapna Pailen Relationship with candidate: Mother
Parents Date of Birth: 10 Jan 1966 Parent's/Guardian's Occupation/Designation: School teacher
Office Address:
Address: Bharsalapara , Rampurhat , Birbhum Bharsalapara , Rampurhat , Birbhum
Country: India State: West Bengal
City/District: Rampurhat Pin: 731224
Tel: 08250245853 Mobile no.: 8250245853
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: West Bengal Board: West Bengal
School: Rampurhat J.L.Vidyabhaban School: Rampurhat J.L.Vidyabhaban
City: Rampurhat City: Rampurhat
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: Bharsalapara , Rampurhat , Birbhum Bharsalapara , Rampurhat , Birbhum
  Centre code:
  Pin: 731224
  Contact Nos: 08250245853
  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 ?: Preparing for Tmisat
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I always wanted to join merchant navy . And this way I can make career in the sea.
Why do you wish to join TMI?: This is the best college in merchant navy industry
What are your hobbies?: Drawing , Cricket
What are your strengths?: I can get friendly with everyone.
What are your weaknesses?: I talk too much
How do you intend to meet the expenses of this program?: Own Resources
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 ________________