Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
(New Admission Diploma in Nautical Science )


  Dossier ID: DNS2172922
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Aritra bera
Mother's Name: Uttara bera
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Sep 2002 Nationality: Indian
Place of Birth: Mahammad pu Personal Identification Mark: No
Blood Group: B + Address for Communication: VILL-Jagannath chak, PO-Madhusudan chak, PS-Raidighi, DIST-south 24 parganas VILL-Mahammad pur, PO-Nilpur, PS-Nandigram, DIST-purba medinipur
State: West Bengal Country: India
Pin: 721631 City/District: Purba medinipur
Mobile no: 8436759665 Telephone No. with STD code:
Aadhar Card No:657038321799 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Bhagirath bera Relationship with candidate: Father
Parents Date of Birth: 18 Oct 1979 Parent's/Guardian's Occupation/Designation: Job
Office Address:
Address: Ireo city, golf course extension road Gurugram-122001
Country: India State: West Bengal
City/District: Kolkata Pin: 743349
Tel: Mobile no.: 8436759665
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: West Bengal Board: West Bengal
School: Mahammadpur shivnarayan sikshayatan School: Nandigram b. M. T sikshanikatan
City: Kolkata City: Kolkata
English %: 51 Board Roll No./Seat No.: 1171
Aggregate Percentage: 59 School/College Code: 105122
  Centre code: B331699
  Address of School/College: Nandigram,purba Medinipur
  Pin: 721631
  Contact Nos:
  Aggregate Percentage: 86
Details of Marks Secured in (10+2) Examination -

Physics 100 88 88
Chemistry 100 88 88
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 77.67
English 100 83 83
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Imu cet preparation
Why do you wish to join TMI?: My parents
What are your hobbies?: Traveling and reading a book
What are your strengths?: My strength are I am self motivated and disciplined person.
What are your weaknesses?: No weakness
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded School leaving 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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.