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: DEG2186196
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sandeep Tripathy
Mother's Name: Tanmayee Tripathy
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Sep 2000 Nationality: Indian
Place of Birth: KORAPUT Personal Identification Mark: Birthday mark on back
Blood Group: O +  
Date of Birth (DD/MM/YY): 30 Sep 2000 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: House no. 163 Gautam nagar 6th lane Koraput
State: Orissa Country: India
Pin: 764020 City/District: KORAPUT
Mobile no: 6371288084 Telephone No. with STD code: 06371288084
Aadhar Card No:816149355858 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Jitendra Nath Tripathy Relationship with candidate: Father
Parents Date of Birth: 17 Jan 1996 Parent's/Guardian's Occupation/Designation: Central government employe
Office Address:
Address: House no. 163 Gautam nagar 6th lane Koraput
Country: India State: Orissa
City/District: KORAPUT Pin: 764020
Tel: 06371288084 Mobile no.: 7008861563
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Orissa Board: CBSE
School: Kendriya vidyalaya koraput School: Kendriya vidyalaya koraput
English %: 63 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code:
  Address of School/College: House no. 163 Gautam nagar 6th lane Koraput
  Centre code:
  Pin: 764020
  Contact Nos: 06371288084
  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
06/2019 Volleyball Interschool 2nd
05/2020 400m School level 1st
05/2020 Kabaddi School level 3rd
How do you intend spending your time after completing class XII Final exams and before joining college ?: Due to lockdown in our country I may try to up my physic and Whether you have always wanted to learn guitar or swimming or wanted to take up anything professionally, vacation is a great time to do that.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: because it provide 100percent placement in marine engineering. It have good infrastructure and faculty.
Why do you wish to join TMI?: because it provide 100percent placement in bsc nautical science. It have good infrastructure and faculty.
What are your hobbies?: Traveling, playing
What are your strengths?: Leadership, Thinking mindfully in critical situations
What are your weaknesses?: I emotionally connect with things and peoples
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 ________________