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


  Dossier ID: DNS2173817
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Avik Sarkar
Mother's Name: Chitra Sarkar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Sep 2003 Nationality: Indian
Place of Birth: Kolkata Personal Identification Mark: Moles
Blood Group: B + Address for Communication: 5, Rani Rashmoni Road, Kolkata-700013. 5,Rani Rashmoni Road, Kolkata-700013.
State: West Bengal Country: India
Pin: 700013 City/District: Kolkata
Mobile no: 9007292231 Telephone No. with STD code:
Aadhar Card No:988947289997 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Biswanath Sarkar Relationship with candidate: Father
Parents Date of Birth: 02 Aug 1963 Parent's/Guardian's Occupation/Designation: Service
Office Address:
Address: 5, Rani Rashmoni Road, Kolkata-700013. 5,Rani Rashmoni Road, Kolkata-700013.
Country: India State: West Bengal
City/District: Kolkata Pin: 700013
Tel: 09007292231 Mobile no.: 9007292231
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: St Josephs College School: St Josephs College
City: Kolkata City: Kolkata
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: 69, B. B. Ganguly Street, Kolkata-700012.
  Pin: 700012
  Contact Nos: 09007292231
  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 ?: Prepare for other competitive exams and work on physical fitness.
Why do you wish to join TMI?: TMI has a reputation of providing quality education and record placement post submission of various courses.
What are your hobbies?: Basketball, cricket, football, swimming and reading.
What are your strengths?: Team player, quick decision making, study-play balanced approach and good listener.
What are your weaknesses?: Foodie and cramming.
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.